# DIXIE ROUTON THOMPSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619966009
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | ARNP1762862 | FL | Yes |

## Other

- **Enumeration date:** 10/18/2005
- **Last updated:** 05/05/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 303385600 | — | FL |
| 01 | — | 59088941 | BCBS AL | FL |
| 01 | — | P00105273 | MEDICARE RR | FL |
| 01 | — | Y017D | BCBSFL | FL |