Individual
CRYSTAL NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(225) 224-0912
Mailing address
4348 S JEFFREY DR, BATON ROUGE, LA 70816-4196
(225) 361-0219
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6010116816
—
LA
Enumeration date
02/03/2020
Last updated
07/05/2023
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