Individual
SHELIA RENEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 412-0422
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1266
TN
363AM0700X
Medical Physician Assistant
2401
CO
363AM0700X
Medical Physician Assistant
PA1266
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3663643
—
TN
Enumeration date
09/13/2005
Last updated
06/18/2025
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