Individual
MRS. CHARYL M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
13170 OLD JAMESTOWN RD, BLACK JACK, MO 63033-4504
(314) 341-7297
Mailing address
13170 OLD JAMESTOWN RD, BLACK JACK, MO 63033-4504
(314) 341-7297
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2008007319
MO
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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