MRS. JESSICA BRIANNA DIXON (NPI# 1689062523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689062523 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA BRIANNA DIXON |
| Other Name | JESSICA LARSEN |
| Credential | PA-C |
| Practice Address |
One Hurley Plaza Flint MI 48503 |
| Mailing Address |
One Hurley Plaza Son 5th Floor Flint MI 48503-5993 |
| Practice Telephone | 8102629429 |
| Practice Fax Number | 8102629104 |
| Mailing Telephone | 8102629429 |
| Mailing Fax Number | 8102629104 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601007237 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 5601007237 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121861 | Jessica Dixon | Nurse Practitioner | 4951 S White Mountain Rd Bldg A3, Show Low, AZ 85901-7827 | 2020-07-08 |
| 1184095242 | Jessica Dixon | Social Worker | 3600 S Dort Hwy Ste 54, Flint, MI 48507-2054 | 2015-10-15 |
| 1184855215 | Jessica Dixon | Marriage & Family Therapist | 406 S Angle St, Mount Joy, PA 17552-2031 | 2009-08-06 |
| 1548868714 | Jessica Anne Dixon | Case Manager/Care Coordinator | 1050 Niagara St, Buffalo, NY 14213-2001 | 2020-10-11 |
| 1982240032 | Jessica Nicole Dixon | Nurse Practitioner | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-11-25 |
| 1851933568 | Jessica Dixon | Nurse Practitioner | 37100 N Gantzel Rd, Queen Creek, AZ 85140-7349 | 2019-10-14 |
| 1275092116 | Jessica Dixon | Behavior Technician | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2019-03-19 |
| 1881173383 | Jessica Dixon | Licensed Vocational Nurse | 10609 W Ih 10 Ste 105, San Antonio, TX 78230-1673 | 2018-08-07 |
| 1255833927 | Jessica L Dixon | Social Worker | 4415 Monroe Rd, Charlotte, NC 28205-7754 | 2018-03-08 |
| 1902186059 | Jessica Lynne Dixon | Counselor | 2375 E Sunnyside Rd Ste C, Idaho Falls, ID 83404-8281 | 2011-08-22 |
| Street Address |
ONE HURLEY PLAZA |
| City | FLINT |
| State | MI |
| Zip Code | 48503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902871742 | Kenneth Louis Wilson | Surgery | One Hurley Plaza, Flint, MI 48503 | 2006-02-22 |
| 1306469598 | Rohit Gupta | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2020-05-21 |
| 1679069926 | Melissa Ann Schmidt | Physical Therapist | One Hurley Plaza, Flint, MI 48503 | 2018-07-10 |
| 1992223549 | Berghan Leigh Days | Registered Nurse | One Hurley Plaza, Flint, MI 48503 | 2017-09-05 |
| 1659894954 | Anitha Kumari Yelangi | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-19 |
| 1902328826 | Varun Samji | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-12 |
| 1407378870 | Tarek Haykal | Internal Medicine | One Hurley Plaza, Flint, MI 48503 | 2017-07-07 |
| 1518489988 | Huda George Marcus | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-07 |
| 1265954622 | Sai Pavan Kumar Chintalapati | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-07 |
| 1043731862 | Ismail Kazmi | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1588147441 | Julia Shea Roberts | Physician Assistant | 1125 S Linden Rd Ste 210, Flint, MI 48532-4069 | 2018-09-07 |
| 1063848992 | Annalee Polmatier | Physician Assistant | 4520 Linden Creek Pkwy Ste F1, Flint, MI 48507-2969 | 2013-09-24 |
| 1629314430 | Faye Ann Curtis | Physician Assistant | 924 Tacken St, Flint, MI 48532-5071 | 2012-12-26 |
| 1689615791 | Wendy Sue Meredith | Physician Assistant | 2303 Stone Bridge Drive, Flint, MI 48532-5407 | 2006-06-09 |
| 1114526076 | Vin Zephyr Swift | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-10-21 |
| 1083244743 | Jacqueline Vita Vyskocil | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-01-22 |
| 1093372278 | Noimus Salam | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2019-05-23 |
| 1114488541 | Steven Sarnowski | Physician Assistant | 4455 Town Center Pkwy, Flint, MI 48532-3425 | 2019-03-28 |
| 1538634548 | Camrion Grabowski | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2018-10-05 |
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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.