Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB EDWARD DICKERSON, DNAP
Active Sole ProprietorJACOB EDWARD DICKERSON, DNAP is a Certified Nurse Anesthetist (CRNA) healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1013659960 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1013659960
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2022 (4.2996090272747 yrs)
- Last Updated
- Jul 10, 2022
- License
-
208980 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 S BLISS AVETAHLEQUAH, OK, 744642512Browse OK providers · Browse ZIP 74464
- Phone
- 9184583100
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in TAHLEQUAH, OK
| Name | Credential | NPI |
|---|---|---|
| TERESA LYNN TOOMBS | CRNA | 1770581001 |
| MR. RICHARD GEORGE WEYERS | C.R.N.A. | 1972598761 |
| MS. LINDA CATHLEEN OLIVER | C.R.N.A. | 1508852682 |
| ROBYN RACHELLE HOOD | CRNA | 1912930942 |
| SEAN WAYNE POE | CRNA | 1710905039 |
| DAVID ALAN FORSYTHE | CRNA | 1386651669 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.