Dixon, Jennifer Heise

Dixon, Jennifer Heise is an individual health care provider with primary practice located at 111 S Grant Ave , Columbus OH 43215-4701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dixon, Jennifer Heise can be contacted via phone (614) 566-8883.

Contact Information

Primary practice address
111 S Grant Ave Columbus OH 43215-4701
Phone: (614) 566-8883
Fax: (614) 566-8149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-08054 Ohio

Profile Details

NPI number 1942456348
LBN Legal business name Dixon, Jennifer Heise
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Jan 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942456348 NPPES
Ohio MEDICAID 2341862

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