Individual
BERNADINE COLLETTE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4381 S EASON BLVD STE 102B, TUPELO, MS 38801-6583
(662) 377-6610
(662) 377-6614
Mailing address
PO BOX 4018, TUPELO, MS 38803-4018
(662) 377-6610
(662) 377-6614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R658979
MS
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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