Individual
JAMES ALLEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703
(217) 528-7541
(217) 527-8956
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.384446
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.013804
IL
Other
Enumeration date
02/03/2016
Last updated
05/24/2018
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