person
Kelly Prince Mixon, NP
Family Nurse Practitioner in Thomasville, Georgia
NPI 1376121426

Kelly Prince Mixon is a Family Nurse Practitioner based in Thomasville, GA and is specialized in Family. Kelly Prince Mixon practices in Thomasville, GA and has the professional credentials of NP. The NPI Number for Kelly Prince Mixon is 1376121426 and holds a License No. RN254729 (Georgia).

The current practice location address for Kelly Prince Mixon is 116 Mimosa Dr, Thomasville, GA and can be reached out via phone at 229-584-5570 and via fax at 229-551-8697.

Location: 116 Mimosa Dr, Thomasville, GA, 31792-6605
person
Provider Profile Details
NPI Number
1376121426
Provider Name
Kelly Prince Mixon
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
116 Mimosa Dr, Thomasville, GA, 31792-6605
Phone Number
229-584-5570
Fax Number
229-551-8697
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
056052474 01 GA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
116 Mimosa Dr
City
State
Zip
31792-6605
Phone Number
229-584-5570
Fax Number
229-551-8697
person
Provider Business Mailing Address Details
Address
116 Mimosa Dr
City
State
Zip
31792-6605
Phone Number
229-584-5570
Fax Number
229-551-8697
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN254729 (Georgia)
Definition
Definition to come...
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