MARY C. DICKENS


Address: 1106 Central Dr, Suite 1, Philadelphia, MS 39350-8972
Phone: 6016566921

MARY C. DICKENS (NPI# 1437131851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437131851
Entity Type Individual
Full Name MARY C. DICKENS
Credential FNP
Practice Address 1106 Central Dr
Suite 1
Philadelphia
MS 39350-8972
Mailing Address Po Box 5183
Meridian
MS 39302-5183
Practice Telephone 6016566921
Practice Fax Number 6016560381
Mailing Telephone 6017039506
Mailing Fax Number 6017033264
Enumeration Date 2005-11-20
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R703087 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 01034524 05

Other Providers MARY DICKENS

NPI Name Taxonomy Address Enumeration
1821085374 Mary B Dickens Nurse Practitioner 18460 Roscoe Blvd, Northridge, CA 91325-4107 2005-09-30

Office Location

Street Address 1106 CENTRAL DR
SUITE 1
City PHILADELPHIA
State MS
Zip Code 39350-8972

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922080316 John E. Mann Jr. Family Medicine 1106 Central Dr, Philadelphia, MS 39350-8972 2005-11-19
1518307024 Betsy L Mann Nurse Practitioner 1106 Central Dr, Philadelphia, MS 39350-8972 2013-06-28
1275873572 Laird Hospital, Inc. Nurse Practitioner 1106 Central Dr, Philadelphia, MS 39350-8972 2013-02-22
1851657803 Rush Medical Group of Newton, Pa Obstetrics & Gynecology 1106 Central Dr, Suite 3, Philadelphia, MS 39350-8972 2012-04-04
1952677528 Rachael Reed Scarbrough Social Worker 1106 Central Dr, Philadelphia, MS 39350-8972 2012-03-28
1629365853 Christopher N Webb Family Medicine 1106 Central Dr, Philadelphia, MS 39350-8972 2011-07-08
1356493951 Krista L. Boyette Family Medicine 1106 Central Dr, Philadelphia, MS 39350-8972 2007-01-17
1104801703 Laboratory Corporation of America Holdings Clinical Medical Laboratory 1106 Central Dr, Philadelphia, MS 39350-8972 2005-12-07
1083696405 George B. Campbell Family Medicine 1106 Central Dr, Suite 1, Philadelphia, MS 39350-8972 2005-11-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548817133 Airpark Family Dentistry Dentist 1060 Holland Avenue, Philadelphia, MS 39350 2019-08-20
1396303962 Medical Foundation Inc Obstetrics & Gynecology Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 2019-05-30
1144759580 Mapp Home Care Services In Home Supportive Care 41 Eastover Dr, Philadelphia, MS 39350 2017-06-08
1710411707 Rcg Mississippi, Inc. Clinic/Center 1100 Central Drive, Philadelphia, MS 39350 2017-04-17
1114339405 Bernard Oneal Adult Companion 10090 Rd 0022, None, Philadelphia, MS 39350 2014-05-21
1417213323 Region Ten Commision On Mental Health Clinic/Center 1011 Posey Avenue, Philadelphia, MS 39350 2012-04-04
1851427132 Performance Therapy LLC Physical Therapist Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 2007-02-23
1922161900 Ernest Barton Cross Audiologist 1120 East Main Street, Suite 4, Philadelphia, MS 39350 2006-12-19
1649348129 Augustus P Soriano Family Medicine 517 Center Avenue, Philadelphia, MS 39350 2006-12-01
1982777983 Bill G Molpus Dentist 247 Byrd Ave, Philadelphia, MS 39350 2006-11-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1568078582 Lynell Wiggins Nurse Practitioner 1605 N 77th St, Philadelphia, PA 19151-2711 2020-09-16
1508479668 Frances Laura Israel Nurse Practitioner 1913 Lansing St, Philadelphia, PA 19111-3505 2020-08-28
1063024529 April Lee Fligor Nurse Practitioner 148 Osborn St, Philadelphia, PA 19128-3709 2020-08-17
1861010597 Brooke Brady Bell Nurse Practitioner 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 2020-07-09
1780208090 Kimberly Mae Behney Nurse Practitioner 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 2020-06-02
1811525819 Jacqueline Baker Nurse Practitioner 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 2020-03-27
1720612914 Zakiyyah Muhsin-fall Nurse Practitioner 499 N 5th St Ste A, Philadelphia, PA 19123-4005 2020-02-26
1386276152 Mercedes Harley Nurse Practitioner 4151 Robbins Ave, Philadelphia, PA 19135-3021 2020-02-10
1467083063 Tara Lynne Weaver Nurse Practitioner 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 2020-02-01
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Competitor

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City PHILADELPHIA
Zip Code 39350

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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