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

Miss. Keely Nicole Mixon, PA

Individual provider Physician Assistant · NPI 1710181714

Miss. Keely Nicole Mixon, PA is a Physician Assistant in Pensacola, Florida. Licensed in Alabama, Florida and Louisiana. Registered with an NPI since 2007.

Licensed in
AL, FL, LA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5151 N 9th Ave
Pensacola, FL 32504-8721
Phone: (850) 416-7619
Fax: (850) 416-7753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.200255 (LA)
Physician Assistant Taxonomy 363A00000X · Licence PA9110923 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA.1523 (AL)

Record details

NPI number1710181714
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019

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