Individual
MR. ADAM MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN PMHNP-BC
Contact information
Practice address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-4822
Mailing address
3015 WILSON AVE, LOUISVILLE, KY 40211-1969
(502) 774-4401
(502) 772-4822
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3015463
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100708040
—
KY
01
—
K359900
MEDICARE
KY
Enumeration date
11/22/2020
Last updated
02/13/2023
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