Individual
JENNA LEE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
313 COUNTY ROAD 760, CORINTH, MS 38834-1166
(662) 284-6497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2469
TN
363A00000X
Physician Assistant
Primary
PA00229
MS
Other
Enumeration date
02/18/2014
Last updated
12/10/2016
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