| Doctor Name: | DANITA STEVENSON DIXON |
| NPI Number: | 1083078208 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9272397 |
| Business Practice Address: | 6027 28th St S Saint Petersburg, FL - 337124525 |
| Business Phone Number: | 7276879638 |
| Business Fax Number: | |
| Mailing Address: | 1839 Central Ave, ST PETERSBURG |
| State: | FL |
| Postal Code: | 337138900 |
| Phone Number: | 7273221054 |
| Fax Number: | 7273222725 |
| NPI Enumeration Date: | 04/13/2016 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9272397 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |