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Tiisha Dickerson
Student in an Organized Health Care Education/Training Program in Springfield, Illinois
NPI 1740923267

Tiisha Dickerson is a Student in an Organized Health Care Education/Training Program based in Springfield, IL. Tiisha Dickerson practices in Springfield, IL. The NPI Number for Tiisha Dickerson is 1740923267 and holds a License No. (Illinois).

The current practice location address for Tiisha Dickerson is 901 N 1St St Ste 225, Springfield, IL and can be reached out via phone at 217-788-4065 and via fax at 217-788-4147.

Location: 901 N 1St St Ste 225, Springfield, IL, 62702-3760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740923267
Provider Name
Tiisha Dickerson
Credential
Provider Entity Type
Individual
Gender
Female
Address
901 N 1St St Ste 225, Springfield, IL, 62702-3760
Phone Number
217-788-4065
Fax Number
217-788-4147
Provider Enumeration Date
04/14/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
901 N 1St St Ste 225
City
Springfield
State
Illinois
Zip
62702-3760
Phone Number
217-788-4065
Fax Number
217-788-4147
person
Provider Business Mailing Address Details
Address
901 N 1St St Ste 225
City
Springfield
State
Illinois
Zip
62702-3760
Phone Number
217-788-4065
Fax Number
217-788-4147
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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