Individual provider · Type 1 NPI
Jennifer Lyn Dizon, BSN, BA, RN, CCM
Registered Nurse · San Antonio, TX
Practice location
17503 La Cantera Pkwy # 104-151
San Antonio, TX 78257-8207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN1042179 (DC) |
| Registered Nurse Primary | 163W00000X | 1094973 (TX) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1992516165
Jennifer Lyn Dizon, BSN, BA, RN, CCM's National Provider Identifier is 1992516165, issued on Jan 16, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 8, 2026.