Doctor Name: | DEBRA LYNN DIXON |
NPI Number: | 1871786376 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 73197 |
Business Practice Address: | 112 N 3rd St Okemah, OK - 748592602 |
Business Phone Number: | 9186233060 |
Business Fax Number: | 9186232380 |
Mailing Address: | 112 N 3rd St, OKEMAH |
State: | OK |
Postal Code: | 748592602 |
Phone Number: | 9186233060 |
Fax Number: | 9186232380 |
NPI Enumeration Date: | 08/20/2007 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 73197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |