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Individual
JENNIFER T. MITCHELL
Active
Individual
JENNIFER T. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6508
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
J6508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101608100
FIRSTCARE COMMERCIAL
TX
05
—
101608101
—
TX
05
—
146288902
—
TX
05
—
146288903
—
TX
05
—
200016590A
—
OK
05
—
29557887
—
NM
01
—
87418Z
HMO BLUE
TX
01
—
8F3612
BCBS
TX
01
—
A569
TRIWEST
NM
Enumeration date
08/17/2005
Last updated
12/02/2021
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