Individual
JACOB MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9 WATER ST, WELLSBORO, PA 16901-1117
(570) 724-2325
Mailing address
145 MAIN ST, WELLSBORO, PA 16901-1416
(570) 439-5945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
10/19/2022
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