Individual
JANA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-3120
Mailing address
233 N BUGLE DR, FORT WORTH, TX 76108-4125
(214) 683-6977
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
668357
TX
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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