Kanisha Conrad Dickens, LPN - Licensed Practical Nurse in Durham, NC

Kanisha Conrad Dickens, LPN is a Licensed Practical Nurse based in Durham, North Carolina. Kanisha Conrad Dickens is licensed to practice in North Carolina (license number 59949) and her current practice location is 12 Moonstone Ct, Durham, North Carolina. She can be reached at her office (for appointments etc.) via phone at (866) 654-1113.

NPI number for Kanisha Conrad Dickens is 1659625499 and her current mailing address is 12 Moonstone Ct, Durham, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659625499.

Contact Information

Kanisha Conrad Dickens, LPN
12 Moonstone Ct,
Durham, NC 27703-2682
(866) 654-1113
(919) 439-0222



Provider's Profile

Full NameKanisha Conrad Dickens
GenderFemale
SpecialityLicensed Practical Nurse
Location12 Moonstone Ct, Durham, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659625499
  • Provider Enumeration Date: 11/01/2012
  • Last Update Date: 11/27/2023

Medical Identifiers

Medical identifiers for Kanisha Conrad Dickens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659625499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 59949 (North Carolina)Primary
376G00000XNursing Home Administrator FCL-032-122 (North Carolina)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kanisha Conrad Dickens is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kanisha Conrad Dickens, LPN
12 Moonstone Ct,
Durham, NC 27703-1543

Ph: (866) 654-1113
Kanisha Conrad Dickens, LPN
12 Moonstone Ct,
Durham, NC 27703-2682

Ph: (866) 654-1113

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Durham, NC

Mrs. Shannon Lanee Whitaker, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Croasdaile Drive, Suite 701, Durham, NC 27705
Phone: 919-309-4333    
Appolonia Mark,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 508 Fulton St, Durham, NC 27705
Phone: 919-286-0411    
Jasmine Thompson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1304 Cozart St Unit 214, Durham, NC 27704
Phone: 984-260-5207    
Mrs. Patricia Spells Springs, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 800 N Mangum St, Durham, NC 27701
Phone: 919-683-1607    Fax: 919-683-1790
Ms. Belinda Mason Greene, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 705 S Mangum St, Building 3, Durham, NC 27701
Phone: 919-683-1790    
Ms. Adrienne Michele Ellis,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Midland Ter, Durham, NC 27704
Phone: 919-236-7507    
Tiffany Charon Mosby, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 508 Fulton Street, Durham Va Medical Center, Durham, NC 27700
Phone: 919-416-8001    Fax: 919-286-6875

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