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Individual
JEANETTE BROWN MITCHELL
Active
Individual
JEANETTE BROWN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN118861
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461330251D
—
GA
01
—
P01003828
RAILROAD MEDICARE
GA
Enumeration date
09/16/2008
Last updated
07/24/2012
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