Healthcare Provider Details

I. General information

NPI: 1063334183
Provider Name (Legal Business Name): DIXON MIND & BODY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BRICKSTONE SQ STE 201
ANDOVER MA
01810-1497
US

IV. Provider business mailing address

300 BRICKSTONE SQ STE 201
ANDOVER MA
01810-1497
US

V. Phone/Fax

Practice location:
  • Phone: 978-857-5317
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOANNA DIXON
Title or Position: CEO/NP
Credential: PMHNP-BC, ANP-BC
Phone: 978-857-5317