# JEANETTE BROWN MITCHELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184873069
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN118861 | GA | Yes |

## Other

- **Enumeration date:** 09/16/2008
- **Last updated:** 07/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 461330251D | — | GA |
| 01 | — | P01003828 | RAILROAD MEDICARE | GA |