| Mr Charles Earl Dickerson Jr, CRNA | |
| 
					2005 Knight Lane Bldg H, Navmedsupcom Attn: Med Staff Services, Jacksonville, FL 32212-0140  | |
| (619) 532-6684 | |
| Not Available | 
| Full Name | Mr Charles Earl Dickerson Jr | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 2005 Knight Lane Bldg H, Jacksonville, Florida | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558701292 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 840135 (California) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 4405 (California) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Charles Earl Dickerson Jr, CRNA 640 Wilmington Dr, Chula Vista, CA 91914-4209 Ph: (301) 908-8904  | Mr Charles Earl Dickerson Jr, CRNA 2005 Knight Lane Bldg H, Navmedsupcom Attn: Med Staff Services, Jacksonville, FL 32212-0140 Ph: (619) 532-6684  | 
Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000  | |
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000  | |
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855  | |
Lindsay Michelle Putkowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6111  | |
Michelle Alicia Coy, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St Dept 5000, Jacksonville, FL 32214 Phone: 904-542-7300  | |
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000  | |
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220  |