National Provider Identifier
Tina Marie Dickinson, AGPCNP-BC
Tina Marie Dickinson, AGPCNP-BC is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner in Newark, NY and a listed phone number of (315) 359-2847.
Profile Overview
- NPI
- 1306337381
- Provider Type
- Individual
- Primary Specialty
- Acute Care Nurse Practitioner
- Enumeration Date
- May 24, 2018
- Last Updated
- September 15, 2022
Practice Location
- 1200 Driving Park Ave
- Newark, NY 14513-1090
Phone: (315) 359-2847
Mailing Address
- Newark Wayne Community Hospital 111 Driving Park Ave
- Box 111, Emergency Department
- Newark, NY 14513
Specialties
- Acute Care Nurse Practitioner (363LA2100X)
Endpoints
- tina.dickinson@rochesterregional.org
Direct Messaging Address | Newark, NY 14513
Full Record
- NPI
- 1306337381
- Entity Type
- Individual
- Last Name
- Dickinson
- First Name
- Tina
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- AGPCNP-BC
- Provider Other Last Name
- Jock
- Provider Other First Name
- Tina
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- Newark Wayne Community Hospital 111 Driving Park Ave
- Mailing Address Line 2
- Box 111, Emergency Department
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513
- Mailing Country
- US
- Mailing Phone
- (315) 359-2847
- Mailing Fax
- (315) 359-2806
- Practice Street Address
- 1200 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1090
- Practice Country
- US
- Practice Phone
- (315) 359-2847
- Practice Fax
- (315) 359-2806
- Enumeration Date
- May 24, 2018
- Last Updated
- September 15, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 15, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Acute Care Nurse Practitioner (363LA2100X)