| NPI | 1609383629 |
|---|---|
| Former Name | CRYSTAL NIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11028964) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175633) |
| 363L00000X Nurse Practitioner (Licence: VA 0024175633) | |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2024-05-09 |