Individual
VERNELLE TIQUICHA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-7942
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-7942
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06826
LA
Other
Enumeration date
04/27/2012
Last updated
12/31/2013
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