Individual
JENNIFER HEISE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 S GRANT AVE, COLUMBUS, OH 43215-4701
(614) 566-8883
(614) 566-8149
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-08054
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2341862
—
OH
Enumeration date
08/18/2008
Last updated
01/25/2022
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