Individual
MRS. MEGAN IRENE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2345
Mailing address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2345
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
5015847
NC
363LF0000X
Family Nurse Practitioner
RN253001
GA
Other
Enumeration date
01/31/2019
Last updated
12/12/2024
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