Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqualine Drake Dickson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1124586995

Jacqualine Drake Dickson, FNP-C is a Nurse Practitioner in Collierville, Tennessee. Qualified in 2017, 9 years ago. Practices with Consolidated Medical Practices of Memphis, PLLC, a 113-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
9
Licensed in
MS, TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

526 Halle Park Dr
Collierville, TN 38017-7085
Phone: (901) 910-3246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 491 W Poplar Ave, Collierville, TN 38017-2537 — (901) 861-0001

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN0000024154 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 902387 (MS)

Record details

NPI number1124586995
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedMarch 11, 2019
Last updated in NPPESFebruary 19, 2021
Certification dateFebruary 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Consolidated Medical Practices Of Memphis,Pllc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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