Individual
JASON W MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 REITZ BLVD, LEWISBURG, PA 17837-9208
(570) 523-0055
(570) 523-7996
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20020432
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66100054
—
NM
Enumeration date
06/28/2006
Last updated
01/13/2026
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