Individual
AMY ELIZABETH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-7156
(336) 713-7777
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-7777
(336) 716-1119
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006553
NC
363LF0000X
Family Nurse Practitioner
16217
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527240
—
TN
05
—
1831476019
—
NC
Enumeration date
11/15/2011
Last updated
10/21/2022
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