Individual
DIXIE WHITE ISHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 N STATE ST, SUITE 500, JACKSON, MS 39202-2000
(601) 352-2273
(601) 714-3415
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-3205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R519332
MS
363LF0000X
Family Nurse Practitioner
RN1618623
CO
367500000X
Certified Registered Nurse Anesthetist
12805
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00228
GROUP PTAN
VA
Enumeration date
08/05/2007
Last updated
03/15/2018
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