Individual
JESSICA M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041325897
IL
363L00000X
Nurse Practitioner
209-006817
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
209006817
IL
Other
Enumeration date
05/15/2007
Last updated
03/24/2025
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