Individual
JESSICA M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2271212
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2271212
LICENSE
MA
Enumeration date
12/10/2012
Last updated
05/01/2015
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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