IndividualActive
Jessie Dickerson, RN, MSN, CWON, CFNN
NPI 1679661037 · Enterostomal Therapy Registered Nurse · Birmingham, AL
Provider details
- NPI number
- 1679661037
- Entity type
- Individual
- Primary specialty
- Enterostomal Therapy Registered NurseNursing Service Providers
- Credential
- RN, MSN, CWON, CFNN
- Sex
- Female
- Sole proprietor
- No
- License
- 1-036245 (AL)
Practice location
700 19th St S
Birmingham, AL 35233-1927
Phone: (205) 933-8101
Fax: (205) 558-7022
Mailing address
100 Blackberry Ln
Birmingham, AL 35214-3614
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.