Dr Jennifer Lynn Hixson, LP, BCBA is a
Psychologist based in Mount Juliet, Tennessee. Dr Jennifer Lynn Hixson is licensed to practice in Tennessee (license number P 3113) and her current practice location is
2128 Ponty Pool Dr, Mount Juliet, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 754-1213.
NPI number for Dr Jennifer Lynn Hixson is 1033230917 and her current mailing address is 2128 Ponty Pool Dr, Mount Juliet, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033230917.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Lynn Hixson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 2128 Ponty Pool Dr, Mount Juliet, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033230917
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 12/10/2013
Medical Identifiers
Medical identifiers for Dr Jennifer Lynn Hixson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033230917 | NPI | - | NPPES |
| 856921 | Other | KS | BCBS |
| 200437120A | Medicaid | KS | |
| 11759293 | Other | | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PS016805 (Pennsylvania) | Secondary |
| 103T00000X | Psychologist | P 3113 (Tennessee) | Primary |
| 103TC0700X | Psychologist - Clinical | 2013027928 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Lynn Hixson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Lynn Hixson, LP, BCBA
2128 Ponty Pool Dr,
Mount Juliet, TN 37122-7455
Ph: (254) 290-4048 | Dr Jennifer Lynn Hixson, LP, BCBA
2128 Ponty Pool Dr,
Mount Juliet, TN 37122-7455
Ph: (615) 754-1213 |
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