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Individual
STACY DIXON
Active
Individual
STACY DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001317057
VA
163W00000X
Registered Nurse
RN297849
GA
363LF0000X
Family Nurse Practitioner
Primary
0024186334
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/30/2022
Last updated
02/29/2024
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