Mixon, Susan Pee

Mixon, Susan Pee is an individual health care provider with primary practice located at 2500 North State Street Department Of Medicine Division Of Gen Internal Med, Jackson MS 39216. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mixon, Susan Pee can be contacted via phone (601) 815-5670.

Contact Information

Primary practice address
2500 North State Street Department Of Medicine Division Of Gen Internal Med Jackson MS 39216
Phone: (601) 815-5670
Fax: (601) 984-6870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R784973 Mississippi

Profile Details

NPI number 1548213226
LBN Legal business name Mixon, Susan Pee
Credentials NPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Aug 20th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548213226 NPPES
Mississippi MEDICAID 06370000

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