Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA RENEE DICKERSON, DNP, FNP-BC
ActiveLAURA RENEE DICKERSON, DNP, FNP-BC is a Family Nurse Practitioner healthcare provider located in BYRON, Illinois. NPI 1710694401 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BYRON, IL
Registration Details
- NPI Number
- 1710694401
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 1, 2022 (3.7411309965805 yrs)
- Last Updated
- Dec 27, 2023
- Licenses
-
041.428105 (IL)209.026248 (IL)
Practice Information
- Address
-
404 W BLACKHAWK DR LOWR LEVELBYRON, IL, 610107500Browse IL providers · Browse ZIP 61010
- Phone
- 8159041249
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
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.