Connie Gail Dickson, APRN
Individual provider Active NPI Family Nurse Practitioner · Franklin, KY
NPI 1306114640 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1306114640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3007222 (KY)
- Practice address
- 208 S Main St
Franklin, KY 42134-2116 - Phone
- (270) 781-6477
- Fax
- (270) 647-6479
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3007222 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Health Corp, Inc. | Family | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3007222 | KY | Yes |
Addresses
Primary practice location
208 S Main St
Franklin, KY 42134-2116
Mailing address
201 Park St
Bowling Green, KY 42101-1759
Phone (270) 781-6477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100187890 | Medicaid | KY |
Other providers in Franklin, KY
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- Sanda Crnkic
- Cumberland Foot and Ankle Centers
- Jennifer L Delk
- Jonathan Dillard
- Laura Nicole Dinwiddie
- Samantha Jo Dorris
- Downing McPeak Vision Centers
- Rebecca Lynne Doyle
All providers in Franklin, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.