Individual
AUDRA NICHOLE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
907 OLD MCMINNVILLE ST, SPENCER, TN 38585-3200
(931) 946-2438
(931) 946-7106
Mailing address
907 OLD MCMINNVILLE ST, SPENCER, TN 38585-3200
(931) 946-2438
(931) 946-7106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000083109
TN
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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