National Provider Identifier
Jennifer Dickerson, BA
Jennifer Dickerson, BA is listed in the NPPES registry with a primary specialty of Peer Specialist in Wellsville, NY and a listed phone number of (607) 333-5138.
Profile Overview
- NPI
- 1659737039
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- January 14, 2016
- Last Updated
- January 14, 2016
Practice Location
- 41 N Broad St
- Wellsville, NY 14895-1224
Phone: (607) 333-5138
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1659737039
- Entity Type
- Individual
- Last Name
- Dickerson
- First Name
- Jennifer
- Credential
- BA
- Mailing Street Address
- 41 N Broad St
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895-1224
- Mailing Country
- US
- Mailing Phone
- (607) 333-5138
- Mailing Fax
- (585) 593-3907
- Practice Street Address
- 41 N Broad St
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-1224
- Practice Country
- US
- Practice Phone
- (607) 333-5138
- Practice Fax
- (585) 593-3907
- Enumeration Date
- January 14, 2016
- Last Updated
- January 14, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)