Jacob Edward Dickerson is a Tahlequah, Oklahoma based nurse anesthetist who is specialized as Nurse Anesthetist nurse. Active license number of Jacob Edward Dickerson is 208980 for Anesthesia Administration in Oklahoma. his current practice location is 100 S Bliss Ave, Tahlequah. Patients can reach him at 918-458-3100. Jacob Edward Dickerson is DNAP with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1013659960. Jacob Edward Dickerson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jacob Edward Dickerson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
DNAP
Gender:
Male
Practice Address:
100 S Bliss Ave, Tahlequah, Oklahoma, 74464-2512
Phone:
918-458-3100
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013659960
NPI Enumeration Date:
11 Apr, 2022
NPI Last Update On:
10 Jul, 2022
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Edward Dickerson are as mentioned below.
License Number
Specialization
State
Status
208980
Anesthesia Administration
Oklahoma
Primary
Student in an Organized Health Care Education/Training Program
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
21781 E 785 Rd, Welling, Oklahoma
Zip:
74471-2035
Phone Number:
918-457-6922
Fax Number:
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Patients can reach Jacob Edward Dickerson at 100 S Bliss Ave, Tahlequah, Oklahoma or can call to book an appointment on 918-458-3100.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.