Individual
MRS. JESSICA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-5201
(228) 867-3152
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-5201
(228) 867-3152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R879415
MS
Other
Enumeration date
04/24/2014
Last updated
07/19/2016
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