Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samuel David Dickinson, DNP, RN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1538935598

Dr. Samuel David Dickinson, DNP, RN, PMHNP-BC is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2023, 3 years ago. Practices with Trustcare Health, LLC, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-6243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 906157 (MS)

Record details

NPI number1538935598
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , RN , PMHNP-BC
Sole proprietorNo
NPI enumeratedNovember 30, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Trustcare Health, Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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