Provider Demographics
NPI:1497039911
Name:DIXON, CHRISTINA KIRKLEY (ANP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:KIRKLEY
Last Name:DIXON
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1446
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28380-1446
Mailing Address - Country:US
Mailing Address - Phone:910-895-6650
Mailing Address - Fax:910-895-6682
Practice Address - Street 1:125 BILTMORE DR
Practice Address - Street 2:STE 2
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-4994
Practice Address - Country:US
Practice Address - Phone:910-895-6650
Practice Address - Fax:910-895-6682
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005332363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health