MR. DYLAN KEITH MIXSON FNP-C - NPI 1972117562 - Nurse Practitioner in Monroe, GA

Q: What is Dylan Mixson's NPI number?

The NPI number for Dylan Mixson is 1972117562. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Q: What is Dylan Mixson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Dylan Mixson was last updated on September 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Dylan Keith Mixson Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DYLAN KEITH MIXSON FNP-C (NPI 1972117562) is an individual family provider in Monroe, Georgia, licensed in Georgia (RN248478) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1972117562

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. DYLAN KEITH MIXSONCredential: FNP-C

Location Address704 BREEDLOVE DR STE AMonroe, GA 30655-2054

Mailing Address18 Fern Park LnDawsonville, GA 30534-8417 · (706) 248-0993

Phone(888) 772-0076

Fax(770) 751-8014

Sole ProprietorNo

Enumeration DateSeptember 1, 2020

NPPES CertifiedSeptember 1, 2020

✔ NPI 1972117562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN248478

704 BREEDLOVE DR STE A, Monroe, GA 30655

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEXANDER KUSHNIER MD

Psychiatry & Neurology (Psychiatry)