# REBECCA LEE MITCHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881426716
- **Gender:** F
- **Credential:** AGNP-C, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 1173843 | TX | Yes |
| 363L00000X | Nurse Practitioner | 219787 | OK | — |
| 363L00000X | Nurse Practitioner | 244088 | MT | — |

## Other

- **Enumeration date:** 08/19/2024
- **Last updated:** 11/05/2025