Individual
MRS. RHONDA WALLACE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
4130 CLEMMONS RD, CLEMMONS, NC 27012-7520
(336) 765-5470
(336) 499-5428
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4979
(704) 316-4978
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
940015
NC
363LW0102X
Women's Health Nurse Practitioner
940015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005570
—
NC
Enumeration date
03/20/2007
Last updated
10/04/2023
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