Tanner William Dixon, FNP-C
Nurse Practitioner, Family in Hoboken, NJ. Individual provider (NPI-1).
NPI number1407644875
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1407644875
- Entity type
- Individual (NPI-1)
- Name
- Tanner William Dixon
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2025
- Certification date
- Apr 27, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ15306800 | NJ | Yes |
| 363LF0000X | Nurse Practitioner, Family | 356513 | NY |
Practice location
1025 Maxwell Ln Apt 417Hoboken, NJ 07030-6824
Phone 908-442-6660
Mailing address
1025 Maxwell Ln Apt 417Hoboken, NJ 07030-6824
Phone 908-442-6660
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