Jacqualine Drake Dickson, FNP - C | |
526 Halle Park Dr, Collierville, TN 38017-7085 | |
(901) 910-3246 | |
Not Available |
Full Name | Jacqualine Drake Dickson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 526 Halle Park Dr, Collierville, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124586995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN0000024154 (Tennessee) | Primary |
363LF0000X | Nurse Practitioner - Family | 902387 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital | Memphis, TN | Hospital |
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Consolidated Medical Practices Of Memphis,pllc | 1759459845 | 100 |
Entity Name | Margaret Henderson-lee |
---|---|
Entity Type | Practitioner - Nurse Practitioner |
Entity Identifiers | NPI Number: 1952629180 PECOS PAC ID: 7315133311 Enrollment ID: I20101201001084 |
Entity Name | Consolidated Medical Practices Of Memphis,pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508027491 PECOS PAC ID: 1759459845 Enrollment ID: O20081002000198 |
Mailing Address | Practice Location Address |
---|---|
Jacqualine Drake Dickson, FNP - C 8418 Regal Bend Dr, Olive Branch, MS 38654-4415 Ph: (662) 512-2237 | Jacqualine Drake Dickson, FNP - C 526 Halle Park Dr, Collierville, TN 38017-7085 Ph: (901) 910-3246 |
Amanda Wilson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 472 W Poplar Ave, 101, Collierville, TN 38017 Phone: 901-854-5771 | |
Richard Albert Keenan Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 W Poplar Ave Ste 206, Collierville, TN 38017 Phone: 901-861-8484 Fax: 901-861-8489 | |
Candace Harris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1204 W Poplar Ave, Suite 102, Collierville, TN 38017 Phone: 901-610-3135 | |
Heather Jones Boals, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 458 Old Oak Ln, Collierville, TN 38017 Phone: 901-275-0630 | |
Mrs. Susan D Earl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 890 W Poplar Ave Ste 6, Collierville, TN 38017 Phone: 901-221-8621 Fax: 901-221-8631 | |
Kate Weeden Snyder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 526 Halle Park Dr, Collierville, TN 38017 Phone: 901-910-3246 Fax: 901-316-5427 | |
Shelia A Harden, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 New Byhalia Rd, Collierville, TN 38017 Phone: 662-512-8682 |