Individual
JERICA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 BUSINESS PARK DR, DENHAM SPRINGS, LA 70726-7825
(225) 888-3628
Mailing address
6001 MAIN ST, PO BOX 354, ZACHARY, LA 70791-7825
(225) 888-3628
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
215044
LA
Other
Enumeration date
07/09/2020
Last updated
09/05/2020
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