Individual
JACQUELINE C. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Mailing address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R155028
MD
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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