Individual
MS. PERRINE C NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 ROUTE 111 STE 204, SMITHTOWN, NY 11787-3700
(631) 724-4690
Mailing address
527 EVERGREEN AVE, BOHEMIA, NY 11716-4902
(631) 563-8008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4256771
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355019
—
NY
Enumeration date
08/18/2006
Last updated
09/11/2025
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