Individual
DEBRA LYNN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
112 N 3RD ST, OKEMAH, OK 74859-2602
(918) 623-3060
(918) 623-2380
Mailing address
112 N 3RD ST, OKEMAH, OK 74859-2602
(918) 623-3060
(918) 623-2380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73197
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200120010A
—
OK
Enumeration date
08/20/2007
Last updated
05/01/2014
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