Individual
MARY ELLEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,FNP
Contact information
Practice address
589 GARFIELD ST, SUITE 201, TUPELO, MS 38801-6301
(662) 680-5565
(662) 840-8636
Mailing address
PO BOX 21, DIGESTIVE HEALTH SPECIALISTS, PA, TUPELO, MS 38802-0021
(662) 680-5565
(662) 840-8636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R863519
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126313
—
MS
01
—
0355656-22
ANCC CERTIFICATION FNP
MS
01
—
R863519
RN LICENSE NUMBER
MS
Enumeration date
12/01/2005
Last updated
11/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us