Individual
ALISON RENEE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W MAIN ST, TUPELO, MS 38804-3917
(662) 432-4106
Mailing address
115 DRIVE 1347, MOOREVILLE, MS 38857-7439
(662) 322-4047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
862935
MS
363L00000X
Nurse Practitioner
Primary
MITC-BK3CE9
MS
Other
Enumeration date
07/27/2020
Last updated
08/07/2020
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