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Individual
SHARON JEANETTE MITCHELL
Active
Individual
SHARON JEANETTE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006124
—
NC
01
—
NC6834A
MEDICARE PTAN
NC
Enumeration date
12/01/2010
Last updated
07/24/2013
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