Individual
MS. LONI JEAN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4635 EMERSON AVE S, SAINT PETERSBURG, FL 33711-1437
(727) 687-1250
(727) 323-6864
Mailing address
4635 EMERSON AVE S, SAINT PETERSBURG, FL 33711-1437
(727) 687-1250
(727) 323-6864
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN3120162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3120162
REGISTERED NURSE
FL
Enumeration date
04/24/2007
Last updated
07/09/2007
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