Individual
MRS. JESSICA HEATH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6260
Mailing address
5960 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210-3102
(704) 495-6334
(919) 359-6017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04789
NC
363A00000X
Physician Assistant
3918
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841613908
—
NC
Enumeration date
01/27/2014
Last updated
10/01/2024
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