Individual
MRS. TAMMY LOFTON DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 835-9165
(601) 835-9164
Mailing address
174 SPRINGFIELD TRL SW, BOGUE CHITTO, MS 39629-8209
(601) 757-1296
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
R858704
MS
363LF0000X
Family Nurse Practitioner
Primary
R858704
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R858704
MS LICENSE
MS
Enumeration date
06/30/2008
Last updated
11/22/2023
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