Individual
JONATHAN THOMAS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2770
(401) 737-7000
Mailing address
455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
APRN03585
RI
363LF0000X
Family Nurse Practitioner
APRN03585
RI
Other
Enumeration date
05/03/2023
Last updated
12/30/2025
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