JENNA RAE DICKERSON NP NPI 1821748997

NPI Information

  • NPI: 1821748997
  • Provider Name: JENNA RAE DICKERSON, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1346 BELMONT AVE STE 602
    SALISBURY, MD
    ZIP 21804
  • Phone: (443) 978-7317

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NPI Details

Jenna Rae Dickerson, NP is a family nurse practitioner in Salisbury, MD with 4 years of experience. Jenna Rae Dickerson, NP NPI is 1821748997. 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:

1346 BELMONT AVE STE 602
SALISBURY, MD
ZIP 21804-589
Phone: (443) 978-7317

The NPI 1821748997 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 3/24/2022 and was last updated on 3/24/2022.

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
1363LF0000XNurse PractitionerFamilyAC004258MARYLANDYes

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: 11/21/2025

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