Individual
MRS. JENNEFER DORIS DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, FNP, MSN, BSN
Contact information
Practice address
133 HOSPITAL DR., SUITE 500, CARTHAGE, TN 37030
(615) 735-0700
(615) 735-5480
Mailing address
133 HOSPITAL DR., SUITE 500, CARTHAGE, TN 37030
(615) 735-0700
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
141259
TN
363LF0000X
Family Nurse Practitioner
Primary
12396
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN12396
STATE LICENSE
TN
Enumeration date
12/05/2006
Last updated
03/11/2020
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