Individual
ANGELA GAIL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
401 SOUTHCREST CIR STE 104, SOUTHAVEN, MS 38671-6712
(901) 763-3636
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(901) 227-8693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904119
MS
Other
Enumeration date
04/07/2023
Last updated
06/10/2024
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