Provider Demographics
NPI:1083065932
Name:MIXON, NANCY LEANNE (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LEANNE
Last Name:MIXON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:LEANNE
Other - Last Name:MAXEY NORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1930 ALCOA HWY
Mailing Address - Street 2:BUILDING A SUITE 435
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1500
Mailing Address - Country:US
Mailing Address - Phone:865-305-8888
Mailing Address - Fax:
Practice Address - Street 1:1930 ALCOA HWY
Practice Address - Street 2:BUILDING A SUITE 435
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1500
Practice Address - Country:US
Practice Address - Phone:865-305-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000021196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily