Individual
JACQUELINE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 BRIARVILLE RD, SUITE 202, MADISON, TN 37115-5158
(615) 463-6610
Mailing address
1309 BRIARVILLE RD, SUITE 202, MADISON, TN 37115-5158
(615) 463-6610
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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