person
Mr. Jonathan Lamont Mixon
Psychiatric/Mental Health Nurse Practitioner in Lafayette, Louisiana
NPI 1508260720

Jonathan Lamont Mixon is a Psychiatric/Mental Health Nurse Practitioner based in New Iberia, LA and is specialized in Psychiatric/Mental Health. Jonathan Lamont Mixon practices in Lafayette, LA. The NPI Number for Jonathan Lamont Mixon is 1508260720 and holds a License No. AP08044 (Louisiana).

The current practice location address for Jonathan Lamont Mixon is 106 Heymann Blvd, Lafayette, LA and can be reached out via phone at 337-504-4279.

Location: 106 Heymann Blvd, Lafayette, LA, 70563-8616
person
Provider Profile Details
NPI Number
1508260720
Provider Name
Jonathan Lamont Mixon
Credential
Provider Entity Type
Individual
Gender
Male
Address
106 Heymann Blvd, Lafayette, LA, 70563-8616
Phone Number
337-504-4279
Fax Number
Provider Enumeration Date
10/17/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
106 Heymann Blvd
City
State
Zip
70503-2322
Phone Number
337-504-4279
Fax Number
person
Provider Business Mailing Address Details
Address
106 Heymann Blvd
City
State
Zip
70503-2322
Phone Number
337-504-4279
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP08044 (Louisiana)
Definition
Definition to come...
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