Shawn Nixon, APRN
Nurse Practitioner, Primary Care in Windermere, FL. Individual provider (NPI-1).
NPI number1053949941
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1053949941
- Entity type
- Individual (NPI-1)
- Name
- Shawn Nixon
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2020
- Certification date
- Aug 14, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | APRN11023852 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.026573 | OH |
Practice location
5151 Winter Garden Vineland Rd Ste 208Windermere, FL 34786-6098
Phone 407-636-7802
Mailing address
5151 Winter Garden Vineland RdWindermere, FL 34786-6098
Phone 407-636-7802
Other practice locations
5151 Winter Garden Vineland Rd Ste 208
Windermere, FL 34786-6098
Windermere, FL 34786-6098
Phone 407-636-7802
800 N Maitland Ave Ste 103
Maitland, FL 32751-4499
Maitland, FL 32751-4499
Phone 407-660-7100
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