Individual
JENNIFER L MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
863 N MIAMI AVE, CHOUTEAU, OK 74337-3750
(918) 855-9004
Mailing address
863 N MIAMI AVE, CHOUTEAU, OK 74337-3750
(918) 855-9004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0064472
OK
363LF0000X
Family Nurse Practitioner
Primary
R0064472
OK
Other
Enumeration date
04/23/2019
Last updated
03/15/2022
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