Provider Demographics
NPI:1427102698
Name:PRIORI-DIXON, GENIDE D (RN)
Entity type:Individual
Prefix:MS
First Name:GENIDE
Middle Name:D
Last Name:PRIORI-DIXON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 OPAL RD
Mailing Address - Street 2:APT. B
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-7119
Mailing Address - Country:US
Mailing Address - Phone:254-690-4421
Mailing Address - Fax:
Practice Address - Street 1:1312 OPAL RD
Practice Address - Street 2:APT. B
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-7119
Practice Address - Country:US
Practice Address - Phone:254-690-4421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX697864163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse