Individual
MS. JADE TIERRA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1406 ACKLEN LN, LEBANON, TN 37087-2040
(917) 698-1365
Mailing address
1406 ACKLEN LN, LEBANON, TN 37087-2040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7753
TN
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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