Individual
MRS. JACKALYN LEE MITCHELL
Active
Individual
MRS. JACKALYN LEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, OGNP
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
76450
NC
363L00000X
Nurse Practitioner
76450
NC
363LA2200X
Adult Health Nurse Practitioner
76450
NC
363LC1500X
Community Health Nurse Practitioner
76450
NC
363LN0000X
Neonatal Nurse Practitioner
76450
NC
363LW0102X
Women's Health Nurse Practitioner
76450
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
76450
NC
364SP1700X
Perinatal Clinical Nurse Specialist
76450
NC
Other
Enumeration date
11/30/2006
Last updated
09/11/2025
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