Individual
ABBY RENEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
955 N 400W, JASPER, IN 47546-9727
(812) 661-2021
Mailing address
955 N 400W, JASPER, IN 47546-9727
(812) 661-2021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003696A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/26/2022
Last updated
09/07/2023
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