Mixon, Vanessa Renee

Mixon, Vanessa Renee is an sole proprietor health care provider with primary practice located at 3783 Wood Cir , Cocoa FL 32926-4828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mixon, Vanessa Renee can be contacted via phone (321) 961-6577.

Contact Information

Primary practice address
3783 Wood Cir Cocoa FL 32926-4828
Phone: (321) 961-6577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11005719 Florida

Profile Details

NPI number 1588279459
LBN Legal business name Mixon, Vanessa Renee
Credentials AGNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2020
Last updated Sep 8th, 2020 - about 4 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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