Individual
JILL A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
316 MARKETPLACE BLVD STE 20, JOHNSON CITY, TN 37604-2596
(423) 794-5580
(423) 232-8561
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-5580
(423) 232-8561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15708
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526156
—
TN
Enumeration date
03/18/2011
Last updated
01/13/2026
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