| Ms Jacqueline Veronica Dixon, NP | |
|
21 Fraciscan Way, 150 Graymoor, Garrison, NY 10524 | |
| (845) 335-1000 | |
| Not Available |
| Full Name | Ms Jacqueline Veronica Dixon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 21 Fraciscan Way, Garrison, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083971907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 401493 (New York) | Primary |
| Entity Name | Park Slope Center For Mental Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851382188 PECOS PAC ID: 8224936455 Enrollment ID: O20031226000202 |
| Entity Name | Highland Medical P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376600304 PECOS PAC ID: 2668370420 Enrollment ID: O20031230000737 |
| Entity Name | Montefiore Nyack Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073881835 PECOS PAC ID: 2668485046 Enrollment ID: O20120216000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jacqueline Veronica Dixon, NP 4755 White Plains Rd Apt 2c, Bronx, NY 10470-1105 Ph: () - | Ms Jacqueline Veronica Dixon, NP 21 Fraciscan Way, 150 Graymoor, Garrison, NY 10524 Ph: (845) 335-1000 |
Ms. Janet Marie Hardt, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 150, Garrison, NY 10524 Phone: 845-335-1065 | |
Michelle Elena Laccetti, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27 Morris Rd, Garrison, NY 10524 Phone: 914-729-4950 |