Individual
JENNIFER LYNN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4203 HOSPITAL RD, COAL TOWNSHIP, PA 17866-9668
(570) 644-2614
(570) 644-2618
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 644-2614
(570) 644-2618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061212
PA
363A00000X
Physician Assistant
Primary
OA005872
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103713095
—
PA
01
—
894775
MEDICARE
PA
Enumeration date
10/03/2019
Last updated
06/11/2026
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