Provider Demographics
NPI:1013271246
Name:OAKESON, DACIA DAWN (NP-C)
Entity Type:Individual
Prefix:
First Name:DACIA
Middle Name:DAWN
Last Name:OAKESON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 W 35TH ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-7387
Mailing Address - Country:US
Mailing Address - Phone:402-984-4503
Mailing Address - Fax:
Practice Address - Street 1:224 E 14TH ST. STE 100
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901
Practice Address - Country:US
Practice Address - Phone:402-463-2929
Practice Address - Fax:402-463-2939
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111376363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily