Individual
JENTINA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
20 CENTRAL AVE, LYNN, MA 01901-1201
(781) 477-7222
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 780-4555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2306688
MA
363L00000X
Nurse Practitioner
RN2306688
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2306688
MA
Other
Enumeration date
07/06/2017
Last updated
09/29/2023
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