Nixon, Jodi Lynn

Nixon, Jodi Lynn is an individual health care provider with primary practice located at 1904 W. Royale Dr. , Muncie IN 47304-2664. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Nixon, Jodi Lynn can be contacted via phone (765) 284-0043.

Contact Information

Primary practice address
1904 W. Royale Dr. Muncie IN 47304-2664
Phone: (765) 284-0043
Fax: (765) 284-4112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 20041828A Indiana
Behavioral Health & Social Service Providers / Health Service 103TH0100X 20041828A Indiana

Profile Details

NPI number 1417953670
LBN Legal business name Nixon, Jodi Lynn
Credentials PH.D., HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Nov 27th, 2023 - about last year

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 1417953670 NPPES
Indiana MEDICAID 200295010
Indiana Other P01299489

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