Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KIMBERLY DESHA DICKERSON, RN
ActiveMRS. KIMBERLY DESHA DICKERSON, RN is a Home Health Nurse healthcare provider located in LA PLACE, Louisiana. NPI 1366632119 is currently active in the NPPES registry. Verify at CMS.
Home Health Nurse · LA PLACE, LA
Registration Details
- NPI Number
- 1366632119
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2007 (19.086501401146 yrs)
- Last Updated
- Jul 18, 2019
- Licenses
-
75102 (LA)7282 (LA)
Practice Information
- Address
-
79 DEREK LNLA PLACE, LA, 700688401Browse LA providers · Browse ZIP 70068
- Phone
- 9856183116
- Fax
- 9856183199
- Primary Specialty
-
Home Health Nurse
163WH0200X
- Additional Specialty
- Home Health Nurse
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.