Provider Demographics
NPI:1992569206
Name:DIXON, KAREN MICHELLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MICHELLE
Last Name:DIXON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 HILLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:TN
Mailing Address - Zip Code:37185-2116
Mailing Address - Country:US
Mailing Address - Phone:931-296-3555
Mailing Address - Fax:
Practice Address - Street 1:102 HILLWOOD DR
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:TN
Practice Address - Zip Code:37185-2116
Practice Address - Country:US
Practice Address - Phone:931-296-3555
Practice Address - Fax:931-296-9085
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35650207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine