Healthcare Provider Details

I. General information

NPI: 1750294476
Provider Name (Legal Business Name): CYNTHIA ANN DIXON FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HOSPITAL AVE
JEFFERSON NC
28640-9244
US

IV. Provider business mailing address

220 LUCY BELL RD
CRUMPLER NC
28617-9452
US

V. Phone/Fax

Practice location:
  • Phone: 336-846-7101
  • Fax:
Mailing address:
  • Phone: 828-490-3004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF09261342
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: