Individual
CRYSTAL DANIELLE DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
279 E KENNEDY ST, SPARTANBURG, SC 29302-1912
(864) 583-0053
(864) 583-0390
Mailing address
279 E KENNEDY ST, SPARTANBURG, SC 29302-1912
(864) 583-0053
(864) 583-0390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30006
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NN1118
—
SC
Enumeration date
02/21/2025
Last updated
02/12/2026
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