Provider Demographics
NPI:1336491885
Name:DIXON, PAULA LE'SHAE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:LE'SHAE
Last Name:DIXON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-4915
Mailing Address - Country:US
Mailing Address - Phone:704-925-8724
Mailing Address - Fax:704-925-8727
Practice Address - Street 1:707 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-4915
Practice Address - Country:US
Practice Address - Phone:704-925-8724
Practice Address - Fax:704-925-8727
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005829363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily