Jacob Edward Dickerson, DNAP
Jacob Edward Dickerson, DNAP is a Certified Registered Nurse Anesthetist (CRNA) in Tahlequah, Oklahoma. Qualified in 2022, 4 years ago. Practices with Cherokee Nation, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 4
- Licensed in
- OK
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Tahlequah, OKNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 901 S National Ave, Springfield, MO 65897-0001 — (417) 836-5000
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 208980 (OK) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1013659960 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DNAP |
| Sole proprietor | Yes |
| NPI enumerated | April 11, 2022 |
| Last updated in NPPES | July 10, 2022 |
| Certification date | July 10, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Cherokee Nation — 448 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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