Individual
MRS. KERRI ANN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3035 E MOUND RD, DECATUR, IL 62526-9650
(217) 875-7700
(217) 875-2689
Mailing address
3035 EAST MOUND ROAD, DECATUR, IL 62526
(217) 875-7700
(217) 875-2689
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041193018
IL
363LF0000X
Family Nurse Practitioner
Primary
209001426
IL
Other
Enumeration date
08/11/2006
Last updated
04/24/2013
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