Individual
JON L NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
190 CAMPUS BLVD, SUITE 201, WINCHESTER, VA 22601-2872
(540) 662-0306
(540) 542-1843
Mailing address
190 CAMPUS BLVD, SUITE 201, WINCHESTER, VA 22601-2872
(540) 662-0306
(540) 542-1843
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-840145
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00656352
RAILROAD MEDICARE
—
Enumeration date
08/09/2006
Last updated
02/11/2009
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