Mrs. Michelle Lea Dickerson
CFNP | Nurse Practitioner
2500 North State Street, Jackson
Mississippi, 39216-4500
601-815-4790
Mrs. Michelle Lea Dickerson is a Jackson, Mississippi based nurse practitioner. Active license number of Mrs. Michelle Lea Dickerson is R828866 in Mississippi. Her current practice location is 2500 North State Street, Jackson. Patients can reach her at 601-815-4790 or can fax her at 601-984-6870. Mrs. Michelle Lea Dickerson is CFNP and her NPI number (Unique professional ID assigned by NPPES) is 1295926384.
Mrs. Michelle Lea Dickerson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mrs. Michelle Lea Dickerson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Michelle Lea Dickerson |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CFNP |
| Practice Address: | 2500 North State Street, Jackson,
Mississippi, 39216-4500 |
| Phone: | 601-815-4790 |
| Fax: | 601-984-6870 |
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: | 1295926384 |
| NPI Enumeration Date: | 05 Aug, 2007 |
| NPI Last Update On: | 25 Jan, 2017 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Michelle Lea Dickerson are as mentioned below.
| License Number | Specialization | State | Status | |
| R828866 | | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Michelle Lea Dickerson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 06626200 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Michelle Lea Dickerson
2500 North State Street, Jmm Room 2525
Jackson, Mississippi |
| Zip: | 39216-4500 |
| Phone Number: | 601-815-4790 |
| Fax Number: | 601-984-6870 |
Patients can reach Mrs. Michelle Lea Dickerson at
2500 North State Street, Jackson, Mississippi or can
call to book an appointment on 601-815-4790.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.