MRS. JENNEFER DORIS DIXON (NPI# 1114085834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114085834 |
Entity Type | Individual |
Full Name | MRS. JENNEFER DORIS DIXON |
Credential | NP-C, FNP, MSN, BSN |
Practice Address |
133 Hospital Dr. Suite 500 Carthage TN 37030 |
Practice Telephone | 6157350700 |
Practice Fax Number | 6157355480 |
Mailing Telephone | 6157350700 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-03-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
141259 | TN | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
12396 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | STATE LICENSE | APN12396 | 01 |
Street Address |
133 HOSPITAL DR. SUITE 500 |
City | CARTHAGE |
State | TN |
Zip Code | 37030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245729052 | Lesa Hughes | Pharmacist | 1 Myer Street, Carthage, TN 37030 | 2018-05-07 |
1295242527 | Carthage Family Chiropractic LLC | Chiropractor | 906 Main St N, Carthage, TN 37030 | 2018-01-09 |
1255778692 | Smith Co Board of Education | Local Education Agency (LEA) | 126 Scms Lane, Carthage, TN 37030 | 2013-05-24 |
1346599685 | Tennessee Department of Health | Skilled Nursing Facility | 251 Joy Alfrod Way, Carthage, TN 37030 | 2012-08-31 |
1821386525 | Morlee Burgess | Family Medicine | 133 Hospital Dr Ste 500, Carthage, TN 37030 | 2011-07-14 |
1295033595 | Staton Southern Medical, Pllc | Family Medicine | 131 Hospital Drive, Suite 2000, Carthage, TN 37030 | 2011-03-10 |
1861728909 | Cristy Stumb | Nurse Practitioner | 619 N. Main St, Carthage, TN 37030 | 2009-10-24 |
1356505580 | Melody Lynn Key | Physical Therapy Assistant | 112 Healthcare Drive, Carthage, TN 37030 | 2008-07-16 |
1063530962 | Christian Sean Troutman | Chiropractor | 320 Main St North, Carthage, TN 37030 | 2007-03-27 |
1730222316 | Deborah D Webster | Registered Nurse | Smith County Health Department, 303 High St. N, Carthage, TN 37030 | 2007-02-14 |
Find all providers in zip 37030 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023641990 | John Hearn | Nurse Practitioner | 147 Hogans Creek Rd, Carthage, TN 37030-6026 | 2020-02-19 |
1063066363 | Crystal Campbell | Nurse Practitioner | 2600 S River St, Carthage, MO 64836-9401 | 2019-07-25 |
1558823971 | Rosie Hutchins | Nurse Practitioner | 105 Chessie Ln, Carthage, MS 39051-3950 | 2019-04-03 |
1437696150 | Leslie Purvis | Nurse Practitioner | 1001 Monroe St Ste D, Carthage, NC 28327-5009 | 2017-01-20 |
1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
1891138780 | Baptist Medical Center - Leake, Inc. | Nurse Practitioner | 600 Highway 16 E, Carthage, MS 39051-4212 | 2013-04-10 |
1265779094 | Yvonne Danae Camper | Nurse Practitioner | 303 Ellis St, Carthage, MS 39051-3808 | 2013-01-14 |
1154675866 | Kimberly Sue-hicks Donze | Nurse Practitioner | 304 E Saunders St, Carthage, NC 28327-9343 | 2012-11-02 |
1205105319 | Cicily Dianne Cross-blair | Nurse Practitioner | 305 Cottage Rd, Carthage, TX 75633-1511 | 2011-12-19 |
1669635926 | Randi April Watkins | Nurse Practitioner | 407 S Valley St, Carthage, MS 39051-4051 | 2008-07-08 |
Find all providers in CARTHAGE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.