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LAURA RENEE DICKERSON DNP, FNP-BC
NPI 1710694401
Nurse Practitioner - Family in Byron, IL

Active since November 01, 2022
404 W BLACKHAWK DR LOWR LEVEL, BYRON, IL 61010(815) 904-1249 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Renee Dickerson Dnp, Fnp-bc NPPES

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

LAURA RENEE DICKERSON DNP, FNP-BC (NPI 1710694401) is an individual family provider in Byron, Illinois, licensed in Illinois (209.026248) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1710694401
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURA RENEE DICKERSONCredential: DNP, FNP-BC
Location Address404 W BLACKHAWK DR LOWR LEVELByron, IL 61010-7500
Mailing Address404 W Blackhawk Dr Lowr LevelByron, IL 61010-7500 · (815) 904-1249
Phone(815) 904-1249
Sole ProprietorNo
Enumeration DateNovember 1, 2022
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1710694401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.026248
Also ListedNurse PractitionerTaxonomy 363L00000X · License 041.428105 (IL)
404 W BLACKHAWK DR LOWR LEVEL, Byron, IL 61010
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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 Laura Dickerson's NPI number?

The NPI number for Laura Dickerson is 1710694401. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Laura Dickerson located?

Laura Dickerson practices at 404 W Blackhawk Dr Lowr Level, Byron, IL 61010. The listed phone number is (815) 904-1249.

What is Laura Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Laura Dickerson was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.