Individual provider · Type 1 NPI

Lashanta Renee Dixon, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Baltimore, MD

NPI number 1700762069 Active

Practice location

576 Old Town Mall
Baltimore, MD 21202-4190

Call (443) 571-7611 Map

Mailing address

101 Butterfield Ave
Taneytown, MD 21787-3600

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	R245585 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1700762069

Lashanta Renee Dixon, PMHNP-BC's National Provider Identifier is 1700762069, issued on Aug 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Baltimore, MD. The record was last updated on May 19, 2026.