Individual
MRS. JOLIE GARDNER MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2911
(337) 470-2695
Mailing address
109 BOTTES AVE, YOUNGSVILLE, LA 70592-5184
(337) 349-4614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229060
LA
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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