JENNIFER NICHOLE DICKERSON (NPI# 1851941264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851941264 |
| Entity Type | Individual |
| Full Name | JENNIFER NICHOLE DICKERSON |
| Credential | RN |
| Practice Address |
1600 Sutter Pl Clovis NM 88101-4611 |
| Mailing Address |
Po Box 19000 Clovis NM 88102-9000 |
| Practice Telephone | 5757694490 |
| Practice Fax Number | 5757694330 |
| Mailing Telephone | 5757694490 |
| Mailing Fax Number | 5757694330 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
RN-106918 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723217 | Jennifer Ann Dickerson | Nurse Practitioner | 2545 Coachlite Dr, Tecumseh, MI 49286-9599 | 2015-06-26 |
| 1902162969 | Jennifer Eaves Dickerson | Occupational Therapist | 150 Willow Creek Dr Ste 107, Weatherford, TX 76085-3652 | 2012-04-04 |
| 1356498281 | Jennifer M Dickerson | Occupational Therapist | 40 Broad Street Rd, Manakin Sabot, VA 23103-2213 | 2007-01-04 |
| 1366421190 | Jennifer Nicole Dickerson | Genetic Counselor, MS | 13420 N Meridian St Ste 200, Carmel, IN 46032-1581 | 2006-01-11 |
| 1528593233 | Jennifer Marie Dickerson | Physician Assistant | 4040 Highway 17, Suite 206, Murrells Inlet, SC 29576-5098 | 2017-05-01 |
| 1659737039 | Jennifer Dickerson | Peer Specialist | 41 N Broad St, Wellsville, NY 14895-1224 | 2016-01-14 |
| 1396010765 | Jennifer Dickerson | Counselor | 6750 Hillcrest Plaza Dr, Suite 221, Dallas, TX 75230-1400 | 2012-03-17 |
| 1649505819 | Jennifer Dickerson | Speech-Language Pathologist | 1140 W Main St, Attn: Rehabcare, Christiansburg, VA 24073-4222 | 2009-10-06 |
| 1598887341 | Jennifer A Dickerson | Internal Medicine | 335 Glessner Ave, Mansfield, OH 44903-1240 | 2007-04-04 |
| 1154422491 | Jennifer Ann Dickerson | Physical Therapist | 1381 Jefferson Rd, Northfield, MN 55057-3080 | 2006-09-26 |
| Street Address |
1600 SUTTER PL |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215032784 | John Lester Collins | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2006-09-13 |
| 1467051060 | Audrey G Lietzke | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-23 |
| 1245839927 | Ofelma Soto Navarro | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1801495577 | Diane Amanda Lukkar | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1992304679 | Chelsey Lane Pena | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1255930939 | Keitta Christine Torres | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1154928604 | Angela N Lutz | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-07 |
| 1366049470 | Ashley N Curtis | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-02 |
| 1760099006 | Rozalyn Nicole Cox | Social Worker | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-09-30 |
| 1730710468 | Amy Laing | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051060 | Audrey G Lietzke | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-23 |
| 1245839927 | Ofelma Soto Navarro | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1801495577 | Diane Amanda Lukkar | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1992304679 | Chelsey Lane Pena | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1255930939 | Keitta Christine Torres | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2020-10-22 |
| 1407418973 | Eveline Natalia Wedgeworth | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2019-07-03 |
| 1336622232 | Jeannette Adriana Mitchell | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2018-09-07 |
| 1013490879 | David Francis Sanchez | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2018-09-07 |
| 1003399866 | Jennifer R Martin | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2018-09-07 |
| 1033692892 | Larissa M Stieg | Registered Nurse | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2018-09-07 |
| Find all providers in CLOVIS | ||||
Please comment or provide details below to improve the information on JENNIFER NICHOLE DICKERSON.
| 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.