Individual provider · Type 1 NPI

Susan Mizelle, PA

Surgical Physician Assistant · Johnson City, TN

NPI number 1295043602 Active

Practice location

400 N State Of Franklin Rd
Johnson City, TN 37604-6035

Call (423) 431-6111 Map

Mailing address

1185 W Mountain View Rd, Apartment 1301
Johnson City, TN 37604-2523

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X1883 (TN)
Surgical Physician Assistant Primary 363AS0400X1883 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1295043602

Susan Mizelle, PA's National Provider Identifier is 1295043602, issued on Sep 20, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Johnson City, TN. The record was last updated on Oct 16, 2024.