Jerome Anthony Dixon D O P S C
NPI #1750785150 in Campbellsville, Kentucky
Provider Information
- NPI Number
- 1750785150
- Entity Type
- Organization
- Organization Name
- Jerome Anthony Dixon D O P S C
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 14, 2014
- Last Updated
- Oct 14, 2014
Practice Location
- Address
- 150 W BEAR TRACK RD
- City
- Campbellsville
- State
- Kentucky
- ZIP Code
- 42718-8709
- Phone
- (270) 465-8133
Authorized Official
- Name
- MRS. GERRI MONHOLLEN
- Title
- CREDENTIALING MANAGER
- Phone
- (859) 525-1459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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