NINETTA SIMONE DICKERSON NNP NPI 1932312717

NPI Information

  • NPI: 1932312717
  • Provider Name: NINETTA SIMONE DICKERSON, NNP
  • Classification: Nurse Practitioner - 363LN0000X
  • Specialization: Neonatal
  • Entity Type: Individual
  • Address: 101 CARNIE BLVD
    VOORHEES, NJ
    ZIP 08043
  • Phone: (856) 325-3831

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NPI Details

Ninetta Simone Dickerson, NNP is a neonatal nurse practitioner in Voorhees, NJ. Ninetta Simone Dickerson, NNP NPI is 1932312717. 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:

101 CARNIE BLVD
VOORHEES, NJ
ZIP 08043-548
Phone: (856) 325-3831
Fax: (856) 325-3750

The enumeration date for this NPI number is 5/8/2007 and was last updated on 3/4/2010.

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
1363LN0000XNurse PractitionerNeonatal26NN09345400NEW JERSEYYes

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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