Individual
MS. JACKIE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
867 COUNTY ROAD 59, PINE APPLE, AL 36768-3525
(251) 746-2197
Mailing address
213 RUTH ST, SELMA, AL 36701-6056
(334) 412-6517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F08170117
AL
363L00000X
Nurse Practitioner
Primary
1-083022
AL
Other
Enumeration date
08/04/2017
Last updated
05/05/2023
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