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Individual

MS. TENISHA MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, AGACNP-BC, NP-C

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-4391
Mailing address
744 OAK DR, RIVERDALE, GA 30274-4123
(404) 429-9881

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN177143
GA
363LF0000X
Family Nurse Practitioner
RN177143
GA

Other

Enumeration date
10/25/2012
Last updated
05/04/2022
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