Individual
MRS. JENNIFER LYNN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
258 NORWICH AVE, FRANKLIN FURNACE, OH 45629-8862
(740) 981-6758
Mailing address
258 NORWICH AVE, FRANKLIN FURNACE, OH 45629-8862
(740) 981-6758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2341862
OH INDEPENDENT PROVIDER
OH
Enumeration date
04/18/2007
Last updated
07/08/2007
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