Individual
KIA ANESIA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
2657 CLOUD LN, DECATUR, GA 30034-2257
(404) 789-0900
Mailing address
2657 CLOUD LN, DECATUR, GA 30034-2257
(404) 789-0900
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
W51662
CA
363LF0000X
Family Nurse Practitioner
AC002764
MD
363LF0000X
Family Nurse Practitioner
Primary
RN187184
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AC005185
MD
Other
Enumeration date
06/10/2019
Last updated
03/16/2023
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