Individual
DONNA BETTY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
48 NORTHSTAR DR, COLUMBUS, GA 31907-6348
(706) 533-6311
Mailing address
48 NORTHSTAR DR, COLUMBUS, GA 31907-6348
(706) 533-6311
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN276917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061156050
DRIVER LICENSE
GA
Enumeration date
03/30/2020
Last updated
03/31/2020
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