Individual
MRS. JESSICA MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP
Contact information
Practice address
488 SAINT LUKES DR, MONTGOMERY, AL 36117-7104
(334) 288-7808
(334) 288-8089
Mailing address
488 SAINT LUKES DR, MONTGOMERY, AL 36117-7104
(334) 288-7808
(334) 288-8089
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-127148
AL
363LF0000X
Family Nurse Practitioner
1-127148
AL
Other
Enumeration date
07/17/2014
Last updated
03/04/2020
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