| Doctor Name: | JEQUIE DIXON |
| NPI Number: | 1104203827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 5007620 |
| Business Practice Address: | 509 N Brightleaf Blvd Smithfield, NC - 275774407 |
| Business Phone Number: | 9199387189 |
| Business Fax Number: | |
| Mailing Address: | 23 Red Leaf Trl, CLAYTON |
| State: | NC |
| Postal Code: | 275275316 |
| Phone Number: | 8503763730 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2015 |
| NPI Last Update Date: | 05/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 5007620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |