Individual
FRANKIE MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-3161
(601) 947-4411
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 947-8181
(601) 947-4411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R887729
MS
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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