Individual
JEQUIE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 HUMPHREYS CENTER DR STE 330, MEMPHIS, TN 38120-2363
(901) 226-3186
(901) 227-3206
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
(901) 226-3186
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24297
TN
363LA2100X
Acute Care Nurse Practitioner
5007620
NC
Other
Enumeration date
05/01/2015
Last updated
11/20/2018
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