MS. SUSAN PEE MIXON NPC NPI 1548213226

NPI Information

NPI: 1548213226
Provider Name: MS. SUSAN PEE MIXON, NPC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE DIVISION OF GEN INTERNAL MED
JACKSON, MS
ZIP 39216
Phone: (601) 815-5670
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MS. Susan Pee Mixon, NPC is a family nurse practitioner in Jackson, MS. MS. Susan Pee Mixon, NPC NPI is 1548213226. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE DIVISION OF GEN INTERNAL MED
JACKSON, MS
ZIP 39216
Phone: (601) 815-5670
Fax: (601) 984-6870

The enumeration date for this NPI number is 5/17/2006 and was last updated on 8/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R784973	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	500002099	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
2	Q13370	MEDICARE UPIN
3	512I500046	MEDICARE PIN	MISSISSIPPI
4	06370000	MEDICAID	MISSISSIPPI
5	500001469	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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