Mixon, Jonathan Lamont

Mixon, Jonathan Lamont is an individual health care provider with primary practice located at 106 Heymann Blvd , Lafayette LA 70503-2322. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Mixon, Jonathan Lamont can be contacted via phone (337) 504-4279.

Contact Information

Primary practice address
106 Heymann Blvd Lafayette LA 70503-2322
Phone: (337) 504-4279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP08044 Louisiana

Profile Details

NPI number 1508260720
LBN Legal business name Mixon, Jonathan Lamont
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2014
Last updated Jan 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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