| Doctor Name: | JANICE S HIXON |
| NPI Number: | 1801948575 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 0024-167157 |
| Business Practice Address: | 6920 Roanoke Road Shawsville, VA - 24162 |
| Business Phone Number: | 5402681400 |
| Business Fax Number: | |
| Mailing Address: | 213 S Jefferson St, Suite 416 ROANOKE |
| State: | VA |
| Postal Code: | 240111705 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024-167157 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |