Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY NELSON MIXON, MD
Active Sole ProprietorDR. JERRY NELSON MIXON, MD is a Adolescent Medicine healthcare provider located in KIRKLAND, Washington. NPI 1366799090 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · KIRKLAND, WA
Registration Details
- NPI Number
- 1366799090
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2012 (13.81649237122 yrs)
- Last Updated
- Aug 13, 2012
- License
-
MD00023643 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9757 NE JUANITA DR202KIRKLAND, WA, 980344299Browse WA providers · Browse ZIP 98034
- Phone
- 4256058715
- Fax
- 4256540211
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.