Provider Demographics
NPI:1184506990
Name:TROXLER, JOHN ANDREW (NP)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:ANDREW
Last Name:TROXLER
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MS
Mailing Address - Zip Code:39740-8590
Mailing Address - Country:US
Mailing Address - Phone:662-356-1560
Mailing Address - Fax:
Practice Address - Street 1:39 SOUTH ST
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:MS
Practice Address - Zip Code:39740-8590
Practice Address - Country:US
Practice Address - Phone:662-356-1560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS903411163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS903411OtherRN LICENSE