Individual
MRS. GINA MARIE MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
16033 DOCTORS BLVD, HAMMOND, LA 70403-1479
(985) 974-9278
Mailing address
16033 DOCTORS BLVD, HAMMOND, LA 70403-1479
(985) 974-9278
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
08915
LA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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