MRS. MICHELLE LEA DICKERSON CFNP
NPI 1295926384
Nurse Practitioner in Jackson, MS

Q: What is Michelle Dickerson's NPI number?

The NPI number for Michelle Dickerson is 1295926384. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Michelle Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since August 05, 2007

2500 NORTH STATE STREET, JACKSON, MS 39216(601) 815-4790(601) 984-6870 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2017, Aug 15, 2016, Aug 12, 2016 (3 updates tracked since 2016).

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About Mrs. Michelle Lea Dickerson Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE LEA DICKERSON CFNP (NPI 1295926384) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (R828866) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1295926384

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MICHELLE LEA DICKERSONCredential: CFNP

Location Address2500 NORTH STATE STREETJackson, MS 39216-4500

Mailing Address2500 North State Street, Jmm Room 2525Jackson, MS 39216-4500 · (601) 815-4790 · Fax (601) 984-6870

Phone(601) 815-4790

Fax(601) 984-6870

Sole ProprietorNo

Enumeration DateAugust 5, 2007

Last NPPES UpdateJanuary 25, 20173 updates tracked since enumeration

✔ NPI 1295926384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · R828866

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2500 NORTH STATE STREET, Jackson, MS 39216

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Other Identifiers 3

Medicare PIN524939YJ5DMS

Medicaid06626200MS

Medicare PINP01755437MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRADFORD STEELE MARTIN FNP-C

Nurse Practitioner

2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216

Hinds County (601) 815-3045

EMILY BRUMFIELD NP

Nurse Practitioner (Critical Care Medicine)

2500 NORTH STATE STREET
JACKSON, MS 39216

Hinds County (601) 984-5500

KIMBERLY C. COVINGTON TARVER MD

Internal Medicine (Geriatric Medicine)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216

Hinds County (601) 984-6426

MR. MARCELO EDUARDO RAINS M.D.

Pediatrics

2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216

Hinds County (601) 984-1000

DR. CELSO E. GOMEZ-SANCHEZ MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216

Hinds County (601) 984-5525

MS. CHANDRA ANITA BOSTON C.F.P.M.H.N.P.

Nurse Practitioner (Psychiatric/Mental Health)

2500 NORTH STATE STREET
JACKSON, MS 39216

Hinds County (601) 815-4128

DR. KENNETH R. BENNETT MD

Internal Medicine (Cardiovascular Disease)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS 39216

Hinds County (601) 984-5678

DR. GUY DOUGLAS CAMPBELL MD

Internal Medicine (Pulmonary Disease)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216

Hinds County (601) 984-5650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Dickerson's NPI number?

The NPI number for Michelle Dickerson is 1295926384. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Michelle Dickerson located?

Michelle Dickerson practices at 2500 North State Street, Jackson, MS 39216. The listed phone number is (601) 815-4790.

What is Michelle Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Michelle Dickerson was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.