Individual
JENNIFER W MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 WASHINGTON AVE N, SUITE 5000, MINNEAPOLIS, MN 55401-1377
(612) 659-7111
(612) 659-7101
Mailing address
333 WASHINGTON AVE N, SUITE 5000, MINNEAPOLIS, MN 55401-1377
(612) 659-7111
(612) 659-7101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
14526
TN
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9234375
FL
Other
Enumeration date
08/06/2007
Last updated
11/04/2009
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