Dr Laura Rennie Dickerson, CNM | |
350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | |
(601) 540-0968 | |
Not Available |
Full Name | Dr Laura Rennie Dickerson |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 350 W Woodrow Wilson Ave, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326802786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 899587 (Mississippi) | Primary |
Entity Name | Central Mississippi Civic Improvement Association, Inc |
---|---|
Entity Type | Part B Supplier - Pharmacy |
Entity Identifiers | NPI Number: 1548342611 PECOS PAC ID: 4183533235 Enrollment ID: O20240307002325 |
Mailing Address | Practice Location Address |
---|---|
Dr Laura Rennie Dickerson, CNM 104 Harvest Dr, Ridgeland, MS 39157-4012 Ph: (601) 540-0968 | Dr Laura Rennie Dickerson, CNM 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 Ph: (601) 540-0968 |
Miss Gwen Bussa, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 350 W Woodrow Wilson Ave, Jackson, MS 39213 Phone: 601-709-5160 | |
Mary K Fouquier, PHD, RN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1207 N West St, Jackson, MS 39202 Phone: 601-354-6654 Fax: 601-354-6289 | |
Ms. Meggan Everett, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 405 Briarwood Dr Ste 303, Jackson, MS 39206 Phone: 769-233-8163 | |
Dr. Janice Taleff Scaggs, CNM, DNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2500 N State St # L216, Jackson, MS 39216 Phone: 601-984-5300 | |
Ms. Avis Elaine Haynes, PHD RN CNM FPNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 North State Street, Winfred Wiser Womens Hospital, Jackson, MS 39216 Phone: 601-815-7300 Fax: 601-815-7355 | |
Miss Clarice Carroll, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5373 Fax: 601-984-5476 |