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NPI Code Detail

MEDICARE: BROOKE DIXON CPNP-PC

MEDICARE: BROOKE DIXON CPNP-PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse PractitionerAPRN.CNP.0036924OH

General Provider Information

NPI Number : 1780427401
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE DIXON CPNP-PC
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2000
Fax Number :
Provider Business Practice Location Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2639
Country : US
Telephone Number : 614-722-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2024
Last Update Date : 02/17/2026

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Directions to “ BROOKE DIXON CPNP-PC” Practice Location

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