Individual provider · Type 1 NPI

Lacey Beard Mixon, CRNP

Nurse Practitioner · Dothan, AL

NPI number 1295218774 Active

Practice location

1781 E Cottonwood Rd
Dothan, AL 36301-5309

Call (334) 678-5851 Map

Fax (334) 678-2803

Mailing address

201 Monroe St Ste 1600
Montgomery, AL 36104-3721

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-37700 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295218774

Lacey Beard Mixon, CRNP's National Provider Identifier is 1295218774, issued on Sep 11, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dothan, AL. The record was last updated on Sep 11, 2018.