Provider Demographics
NPI:1659109395
Name:NIXON, COURTNEY AUSTIN (RN)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:AUSTIN
Last Name:NIXON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1283 PINEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:RANDLEMAN
Mailing Address - State:NC
Mailing Address - Zip Code:27317-7589
Mailing Address - Country:US
Mailing Address - Phone:336-420-9303
Mailing Address - Fax:
Practice Address - Street 1:1283 PINEVIEW RD
Practice Address - Street 2:
Practice Address - City:RANDLEMAN
Practice Address - State:NC
Practice Address - Zip Code:27317-7589
Practice Address - Country:US
Practice Address - Phone:336-420-9303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC234427163WC1600X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development