Healthcare Provider Details

I. General information

NPI: 1255896395
Provider Name (Legal Business Name): SABRINA DIXON DNP, APN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2019
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 INVERNESS DR
TOMS RIVER NJ
08753-6313
US

IV. Provider business mailing address

2310 INVERNESS DR
TOMS RIVER NJ
08753-6313
US

V. Phone/Fax

Practice location:
  • Phone: 732-476-7774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15548000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00836500
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0011955
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR23983000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: