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DEZZIRAEE N NIXON LPN
NPI 1194364463
Licensed Practical Nurse in Kennett, MO

Active since January 03, 2020
900 STATE ROUTE VV, KENNETT, MO 63857(573) 559-2365 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dezziraee N Nixon Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEZZIRAEE N NIXON LPN (NPI 1194364463) is an individual licensed practical nurse in Kennett, Missouri, licensed in Missouri (2015030101) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1194364463
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDEZZIRAEE N NIXONCredential: LPN
Location Address900 STATE ROUTE VVKennett, MO 63857-3834
Mailing Address900 State Route VvKennett, MO 63857-3834 · (573) 559-2365
Phone(573) 559-2365
Sole ProprietorNo
Enumeration DateJanuary 3, 2020
✔ NPI 1194364463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MO · 2015030101
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
900 STATE ROUTE VV, Kennett, MO 63857
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FCC MEDICAL CLINICS LLC
Clinic/Center (Rural Health)
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
MRS. SHARON ANN PAYNE FNP-C
Nurse Practitioner (Family)
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
FCC MEDICAL CLINICS LLC
Clinic/Center
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
MICHELLE RASBERRY
Technician
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
BRITTANI DAWN BROWN
Nurse's Aide
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
AMANDA RENEA STATLER
Licensed Practical Nurse
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
KYLE AUSTIN DAUGHERTY
Community Health Worker
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365
WHITNEY JO BRADFORD APRN
Nurse Practitioner (Family)
900 STATE ROUTE VV
KENNETT, MO 63857
Dunklin County (573) 559-2365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dezziraee Nixon's NPI number?

The NPI number for Dezziraee Nixon is 1194364463. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Where is Dezziraee Nixon located?

Dezziraee Nixon practices at 900 State Route Vv, Kennett, MO 63857. The listed phone number is (573) 559-2365.

What is Dezziraee Nixon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Dezziraee Nixon was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.