Individual provider · Type 1 NPI
Jennifer E. Mixter, P.A.
Medical Physician Assistant · Charlotte, NC
NPI number
1205268448
Active
Practice location
501 S Sharon Amity Rd Ste 300
Charlotte, NC 28211-0035
Fax (704) 377-2687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0005069 (MD) |
| Medical Physician Assistant Primary | 363AM0700X | 0010-05528 (NC) |
Medical Physician Assistant: Definition to come...
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About NPI 1205268448
Jennifer E. Mixter, P.A.'s National Provider Identifier is 1205268448, issued on Jul 30, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charlotte, NC. The record was last updated on Dec 13, 2018.