Individual
SHELLEY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
59241 REBEL DR, SLIDELL, LA 70461-3713
(985) 605-5646
Mailing address
59241 REBEL DR, SLIDELL, LA 70461-3713
(985) 605-5646
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
133853
LA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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