Individual
CLEMAINE CHARITA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2200
(732) 923-2272
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
(732) 937-8939
(732) 418-8372
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00455700
NJ
363LF0000X
Family Nurse Practitioner
F338530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
08/01/2013
Last updated
09/03/2024
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