Individual
JODY A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3208 SEDGEFIELD PINES LN, RALEIGH, NC 27604-4504
(919) 622-1894
Mailing address
3208 SEDGEFIELD PINES LN, RALEIGH, NC 27604-4504
(919) 622-1894
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-108580
NC
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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