Individual
JASON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2809 E MILLBROOK RD, RALEIGH, NC 27604-3042
(919) 431-4000
Mailing address
2809 E MILLBROOK RD, RALEIGH, NC 27604-3042
(919) 431-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5009906
NC
Other
Enumeration date
10/24/2014
Last updated
06/12/2019
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