Individual
LISA ANN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
19 REDMOND RD NW, ROME, GA 30165-1533
(762) 235-3960
(706) 233-8505
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN280273
GA
Other
Enumeration date
11/01/2018
Last updated
04/28/2020
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