GENESIA DICKSON IRICK FNP NPI 1811431406

NPI Information

NPI: 1811431406
Provider Name: GENESIA DICKSON IRICK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
10461 WALLACE ALLEY ST
KINGSPORT, TN
ZIP 37663
Phone: (423) 279-1400
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Genesia Dickson Irick, FNP is a family nurse practitioner in Kingsport, TN. Genesia Dickson Irick, FNP NPI is 1811431406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10461 WALLACE ALLEY ST
KINGSPORT, TN
ZIP 37663-936
Phone: (423) 279-1400
Fax: (423) 279-1410

The NPI 1811431406 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2016 and was last updated on 12/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	22008	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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