Individual
DR. JENNIFER LAURA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3719 E MERIDIAN LOOP STE E, WASILLA, AK 99654-7273
(907) 600-0030
(907) 206-7153
Mailing address
PO BOX 75045, CHICAGO, IL 60675-5045
(907) 600-0030
(907) 206-7153
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
125363
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2011
Last updated
03/18/2026
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