Organization
JOHNNIE L MITCHELL ARNP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE L MITCHELL (OWNER)
(561) 748-7212
Entity
Organization
Contact information
Practice address
12259 150TH CT N, JUPITER, FL 33478-3513
(561) 748-7212
Mailing address
12259 150TH CT N, JUPITER, FL 33478-3513
(561) 748-7212
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2831402
FL
Other
Enumeration date
07/24/2013
Last updated
02/19/2014
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