Individual
JESSE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 N WELO ST, TIOGA, ND 58852-7157
(701) 664-3305
(701) 664-2240
Mailing address
PO BOX 159, TIOGA, ND 58852-0159
(701) 664-3368
(701) 664-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R48141
ND
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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