Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kayla Nicole Dickerson

Individual provider Family Nurse Practitioner · NPI 1710792874

Kayla Nicole Dickerson is a Nurse Practitioner in Mathiston, Mississippi. Qualified in 2025, 1 year ago. Practices with Webster Urgent Care LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
1
Licensed in
MS
In the registry since
2025

Practice location Address checks out

24978 MS Highway 15
Mathiston, MS 39752-6904
Phone: (662) 634-3089
Fax: (662) 634-3063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 907244 (MS)

Record details

NPI number1710792874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2025
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Webster Urgent Care Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mathiston