Individual
DIXIE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
911 W LOOP 281, SUITE 111, LONGVIEW, TX 75604-2900
(903) 295-8990
Mailing address
911 W LOOP 281, SUITE 111, LONGVIEW, TX 75604-2900
(903) 295-8990
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
255375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255375
TEXAS BOARD OF NURSE EXAMINERS
TX
Enumeration date
09/25/2008
Last updated
09/25/2008
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