Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN DAVID DICKSON, PA-C
Active Sole ProprietorJONATHAN DAVID DICKSON, PA-C is a Physician Assistant healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1487110474 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1487110474
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2019 (7.3505413416193 yrs)
- Last Updated
- May 1, 2023
- Licenses
-
PA13777 (TX)PA-1154 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1444 E STEARNS ST STE 11FAYETTEVILLE, AR, 727034969Browse AR providers · Browse ZIP 72703
- Phone
- 4797187546
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| ANDREA L THOMPSON | PA-C | 1508861865 |
| MR. JOSHUA F MATTHEWS | PA-C | 1194720169 |
| MS. ROBIN R HAYWARD | PA-C | 1558357806 |
| KEVIN L EASTEP | PA | 1285662791 |
| CANDACE JEWEL HARPER | PAC | 1326078957 |
| KRISTY KELLER WALKER | PA-C | 1164534491 |
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.