Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaquon Andre Mixon

Individual provider Home Health Aide · NPI 1528707106

Jaquon Andre Mixon is a Home Health Aide in Youngstown, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

630 Ferndale Ave
Youngstown, OH 44511-3210
Phone: (330) 716-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1528707106
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 1, 2022
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022
Mailing address630 Ferndale Ave, Youngstown, OH 44511-3210

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