Individual
MRS. MIRANDA JO MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1130 N BALDWIN AVE, MARION, IN 46952-2536
(765) 660-7480
(765) 662-1259
Mailing address
330 N WABASH AVE STE G-20, MARION, IN 46952-2605
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28235947A
IN
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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