Provider Demographics
NPI:1114807658
Name:DICKEY, QUEEN JOELLE
Entity type:Individual
Prefix:
First Name:QUEEN
Middle Name:JOELLE
Last Name:DICKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 STONE RD APT 691
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-3606
Mailing Address - Country:US
Mailing Address - Phone:561-685-4769
Mailing Address - Fax:
Practice Address - Street 1:1325 STONE RD APT 691
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3606
Practice Address - Country:US
Practice Address - Phone:561-685-4769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker