| NPI | 1447851076 |
|---|---|
| Former Name | ROBERT JAMES DICKINSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11012664) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9320091) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2024-05-23 |