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Shanda Southard Dixon
Family Nurse Practitioner in Henderson, Kentucky
NPI 1447503685

Shanda Southard Dixon is a Family Nurse Practitioner based in Henderson, KY and is specialized in Family. Shanda Southard Dixon practices in Henderson, KY. The NPI Number for Shanda Southard Dixon is 1447503685 and holds a License No. 3007749 (Kentucky).

The current practice location address for Shanda Southard Dixon is 1305 N Elm St, Henderson, KY and can be reached out via phone at 270-827-7200.

Location: 1305 N Elm St, Henderson, KY, 42420-4310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447503685
Provider Name
Shanda Southard Dixon
Credential
Provider Entity Type
Organization
Address
1305 N Elm St, Henderson, KY, 42420-4310
Phone Number
270-827-7200
Fax Number
Provider Enumeration Date
10/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1305 N Elm St
City
Henderson
State
Kentucky
Zip
42420-2783
Phone Number
270-827-7200
Fax Number
person
Provider Business Mailing Address Details
Address
1305 N Elm St
City
Henderson
State
Kentucky
Zip
42420-2783
Phone Number
270-827-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3007749 (Kentucky)
Definition
Definition to come...
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