Gina H Mixon in Ellisville - Dietitian, Registered
Gina H Mixon - NPI 1902807720
Gina H Mixon is a Dietitian, Registered in Ellisville, Mississippi. Gina H Mixon practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Gina H Mixon is 1902807720. The last update date is 2010-11-03.
Gina H Mixon's current location address is 11 Place Road, Ellisville, Mississippi. You can contact this provider via phone number 6014264086 and fax number 6014264417. The mailing address for Gina H Mixon is 11 Place Road, Ellisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina H Mixon |
|---|---|
| Address | 11 Place Road, Ellisville, Mississippi |
| Phone Number | 6014264086 |
| Fax Number | 6014264417 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1902807720 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2010-11-03 |
Provider Mailing Address Detail
| Address | 11 Place Road |
|---|---|
| City | Ellisville |
| State | Mississippi (MS) |
| Post Code | 39437 |
| Phone Number | 6014264086 |
| Fax Number | 6014264417 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | D0722 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6023396 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gina H Mixon?
The Gina H Mixon has been issued the NPI (National Provider Identifier) 1902807720 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Gina H Mixon?
The Gina H Mixon is situated at 11 Place Road, in the city of Ellisville, state of MS, with the zip code 39437.
What is the Gina H Mixon's area of specialization and corresponding taxonomy classification?
The Gina H Mixon's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Gina H Mixon receive the assignment of its 1902807720 from the Centers for Medicare & Medicaid Services?
The Gina H Mixon was issued its 1902807720 by the Centers for Medicare & Medicaid Services on 2005-08-02.
As of what date were the details related to Gina H Mixon most recently updated or revised?
The information pertaining to Gina H Mixon, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-03.