Individual
LISA DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
Mailing address
9101 STONY POINT DR, RICHMOND, VA 23235
(804) 330-9105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176158
VA
Other
Enumeration date
07/31/2018
Last updated
10/28/2020
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