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Telisha Dixon, FNP

Nurse Practitioner, Family in Germantown, TN. Individual provider (NPI-1).

NPI number1972955052
StatusActive
Last updated in NPPESMar 17, 2021

Details

NPI
1972955052
Entity type
Individual (NPI-1)
Name
Telisha Dixon
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 12, 2016
Certification date
Mar 17, 2021
Last updated
Mar 17, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family21386TNYes

Practice location

7691 Poplar Ave
Germantown, TN 38138-3904

Phone 901-516-6970

Mailing address

360 E Eh Crump Blvd
Memphis, TN 38126-5310

Phone 901-261-2000 · Fax 901-946-9262

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