Individual
JESSICA A. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
Mailing address
PO BOX 894, LA QUINTA, CA 92247-0894
(478) 397-2090
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95007379
CA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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