Individual
SHAWN JEFFERY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3250 GATEWAY BLVD STE 112, PRESCOTT, AZ 86303-6856
(928) 350-7900
(928) 356-3002
Mailing address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5487
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
244057
AZ
363LA2100X
Acute Care Nurse Practitioner
244057
AZ
363LA2200X
Adult Health Nurse Practitioner
Primary
244057
AZ
363LG0600X
Gerontology Nurse Practitioner
244057
AZ
Other
Enumeration date
07/13/2020
Last updated
02/02/2024
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