Individual
ALEXIS NICHOLS DILLON
Active
Individual
ALEXIS NICHOLS DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
307034
NC
363L00000X
Nurse Practitioner
5021171
NC
363LF0000X
Family Nurse Practitioner
Primary
5021171
NC
Other
Enumeration date
01/09/2023
Last updated
07/03/2025
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