Individual
JESSICA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGNP-C
Contact information
Practice address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 759-8860
Mailing address
14901 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73134-6069
(405) 759-8860
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R0079056
OK
Other
Enumeration date
04/28/2014
Last updated
03/02/2016
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