Individual
MYISHA JESSIE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
1101 MITCHELL RD, CRYSTAL SPRINGS, MS 39059-9041
(601) 214-4475
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901551
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886045
—
MS
Enumeration date
11/08/2018
Last updated
03/20/2020
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