MRS. CORRYNN LEA MIX FNP-C NPI 1972326684

NPI Information

  • NPI: 1972326684
  • Provider Name: MRS. CORRYNN LEA MIX, FNP-C
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2130 W SYCAMORE ST STE 260
    KOKOMO, IN
    ZIP 46901
  • Phone: (765) 236-8457

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NPI Details

MRS. Corrynn Lea Mix, FNP-C is a women's health nurse practitioner in Kokomo, IN with 2 years of experience. MRS. Corrynn Lea Mix, FNP-C NPI is 1972326684. 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:

2130 W SYCAMORE ST STE 260
KOKOMO, IN
ZIP 46901-460
Phone: (765) 236-8457

The NPI 1972326684 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2024 and was last updated on 3/18/2025.

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
1363LW0102XNurse PractitionerWomen's Health71016062AINDIANAYes

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: 11/21/2025

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