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

Mary Dickerson, CRNP

Individual provider School Registered Nurse · NPI 1689005225

Mary Dickerson, CRNP is a Nurse Practitioner in Frankford, Delaware. Qualified in 2020, 6 years ago. Practices with Tidalhealth Physician Network, Inc, a 114-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.

Years since qualifying
6
Licensed in
DE, MD
In the registry since
2013
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

30207 Frankford School Rd
Frankford, DE 19945-2616
Phone: (302) 732-3800
Fax: (302) 732-6016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AC003935 (MD)
School Registered Nurse Taxonomy 163WS0200X · Licence L-10023320 (DE)

Record details

NPI number1689005225
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 9, 2013
Last updated in NPPESNovember 8, 2021
Certification dateNovember 2, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Tidalhealth Physician Network, Inc. — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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