Individual
ERIC W. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
444 S MAIN ST, MADISONVILLE, KY 42431-2846
(270) 821-4444
(270) 821-9188
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
164344
TN
363LF0000X
Family Nurse Practitioner
Primary
3011842
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
09/08/2009
Last updated
04/28/2025
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