NPI age
15 years
Enumerated 2011-01-13
● Active
Type 1 · Individual
MR. Jeffry Alan Dickerson, FNP
Dickerson is 1 of 396 nurse practitioner providers in San Antonio and 1 of 5264 in Texas.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5264 active nurse practitioner providers in Texas.
NPI age
15 years
↑ 7 yr above median (8 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Practice location
3903 Wiseman Blvd, Ste 311
San Antonio, TX 782514422
Mailing address
P.o. Box 117614
Carrollton, TX 750114422
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
12602 Toepperwein Rd Ste 218
Live Oak, TX 782333271
Location 3
3603 Paesanos Pkwy, Ste 205a
San Antonio, TX 782311227
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
-
Nurse PractitionerDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 10 new nurse practitioner providers have been added in San Antonio in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.