Individual provider · Type 1 NPI

Dixie Fortune, RN, MA

Case Management Registered Nurse · Tyler, TX

NPI number 1821201369 Active

Practice location

214 E Houston St
Tyler, TX 75702-8131

Fax (903) 533-0726

Mailing address

7310 Timber Cir
Tyler, TX 75708-5820

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X547354 (TX)

Case Management Registered Nurse: Definition to come...

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About NPI 1821201369

Dixie Fortune, RN, MA's National Provider Identifier is 1821201369, issued on May 8, 2007. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Tyler, TX. The record was last updated on Jul 8, 2007.