Individual provider · Type 1 NPI

Shu-Shanna Peta-Gaye Dixon, NP

Acute Care Nurse Practitioner · Teaneck, NJ

NPI number 1265055230 Active

Practice location

718 Teaneck Rd
Teaneck, NJ 07666-4245

Mailing address

3 University Plz Ste 205
Hackensack, NJ 07601-6208

Other practice locations

  • 501 Morris St, Charleston, WV 25301-1326 · (304) 388-5432

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X126870 (WV)
Gerontology Nurse Practitioner 363LG0600X26NJ01117100 (NJ)
Acute Care Nurse Practitioner Primary 363LA2100X26NJ01117100 (NJ)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1265055230

Shu-Shanna Peta-Gaye Dixon, NP's National Provider Identifier is 1265055230, issued on May 25, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Teaneck, NJ. The record was last updated on Sep 4, 2026.