Individual
KATISHA ELZATIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
115 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-4400
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
243827
NC
363LP2300X
Primary Care Nurse Practitioner
243827
NC
Other
Enumeration date
10/26/2018
Last updated
03/08/2024
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