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Contact Information

RANDI L BALLARD DICKERSON, DNP, FNP-C
1140 S LINDEN RD BLDG A
FLINT, MI48532-3437
 Phone: 810-732-3180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RANDI L BALLARD DICKERSON · (Female)

NPI Number 1164982229
Status Active
Credentials DNP, FNP-C
Entity Individual
Enumeration date 03/23/2019
Last updated 03/23/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704289620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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