Individual provider · Type 1 NPI

Kelly Mixon, APN

Family Nurse Practitioner · Galesburg, IL

NPI number 1356792618 Active

Practice location

1361 W Fremont St
Galesburg, IL 61401-2436

Mailing address

530 Hillbrook Est
Galesburg, IL 61401-8439

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209014389 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1356792618

Kelly Mixon, APN's National Provider Identifier is 1356792618, issued on Jun 28, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Galesburg, IL. The record was last updated on Jun 28, 2016.