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Contact Information

JAZZMIN DIXON
2860 N 45TH ST
MILWAUKEE, WI53210-1713
 Phone: 414-306-0663
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Counselor

101Y00000X
 

Health Educator

174H00000X
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1528943131
Entity Organization
Organization subpart 1 Not specified
Enumeration date 08/11/2025
Last updated 08/11/2025 - About 10 months ago
Identifiers
WI License # D2504368963204
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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