Individual
JENNIFER QUINN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
35 TALCOTTVILLE RD STE 5, VERNON, CT 06066-5261
(860) 870-6388
Mailing address
35 TALCOTTVILLE RD, STE 5, VERNON, CT 06066-5261
(315) 323-3825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA09592
TX
363AS0400X
Surgical Physician Assistant
Primary
4098
CT
Other
Enumeration date
01/13/2015
Last updated
05/24/2019
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