Individual
STACY LYNN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
303 W MINNESOTA PARK RD, HAMMOND, LA 70403-6149
(985) 310-6110
Mailing address
303 W MINNESOTA PARK RD, HAMMOND, LA 70403-6149
(985) 310-6110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06454
LA
Other
Enumeration date
05/02/2011
Last updated
08/13/2014
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