Individual
MR. JASON DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
56 TOWER CIR, SOMERSET, KY 42503-3476
(606) 677-2913
(606) 677-6983
Mailing address
56 TOWER CIR, SOMERSET, KY 42503-3476
(606) 677-2913
(606) 677-6983
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008766
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100159420
—
KY
Enumeration date
07/24/2014
Last updated
04/14/2016
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