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Individual

MS. JENNIFER T DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
8510 BALBOA BLVD, SUITE 150, NORTHRIDGE, CA 91325-3583
(818) 637-2000
(818) 933-0549
Mailing address
8510 BALBOA BLVD, SUITE 150, NORTHRIDGE, CA 91325-3583
(818) 637-2000
(818) 933-0549

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
738910
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
21271
CA

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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