Jenna Dickson

Nurse Practitioner · Cleveland, TN

Individual Active NPI

NPI number 1457974404

Practice location

2700 Westside Dr NW Ste 306
Cleveland, TN 37312-3699
Phone
(423) 473-0726

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NPI record

NPI
1457974404
Entity type
Individual (Type 1)
Enumeration date
May 26, 2020
Last updated
March 4, 2025
Certified
March 4, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 30120 TN
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

6130 Shallowford Rd Ste 101
Chattanooga, TN 37421-7222
Phone
(423) 664-4635

About Jenna Dickson

Jenna Dickson is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 2700 Westside Dr NW Ste 306, Cleveland, TN 37312-3699. The NPI number 1457974404 was assigned on May 26, 2020 and the record was last updated on March 4, 2025.

Jenna Dickson lists a license in the registry: #30120 (TN) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jenna Dickson?

The NPI number is 1457974404.

What is the phone number of Jenna Dickson?

The phone number listed for the practice location is (423) 473-0726.

Where is Jenna Dickson located?

2700 Westside Dr NW Ste 306, Cleveland, TN 37312-3699.

What is the taxonomy code for Jenna Dickson?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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