Healthcare Provider Details

I. General information

NPI: 1649550476
Provider Name (Legal Business Name): ALYSIA DIXON NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2011
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 N CHURCH ST
GREENSBORO NC
27401-1007
US

IV. Provider business mailing address

3621 COLBY CHASE DR
APEX NC
27539-9055
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-6000
  • Fax:
Mailing address:
  • Phone: 804-306-0658
  • Fax: 804-628-0783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number220239
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: