Individual
MRS. KELLYE MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
4101 PARKSTONE HEIGHTS DR STE 360, AUSTIN, TX 78746-7482
(940) 781-9549
Mailing address
4101 PARKSTONE HEIGHTS DR STE 360, AUSTIN, TX 78746-7482
(940) 781-9549
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
145313
TX
Other
Enumeration date
02/28/2020
Last updated
08/20/2020
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