Provider Demographics
NPI:1700763695
Name:DIXON, ADRIENNA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ADRIENNA
Middle Name:
Last Name:DIXON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MALPASS LANDING DR
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-3707
Mailing Address - Country:US
Mailing Address - Phone:601-906-0540
Mailing Address - Fax:
Practice Address - Street 1:3920 PROMENADE PKWY STE A
Practice Address - Street 2:
Practice Address - City:DIBERVILLE
Practice Address - State:MS
Practice Address - Zip Code:39540-5368
Practice Address - Country:US
Practice Address - Phone:601-317-3336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
MS906126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171400000XOther Service ProvidersHealth & Wellness Coach