Individual
MRS. VICTORIA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-7100
Mailing address
113 LAKEBEND CIR, BRANDON, MS 39042-2220
(601) 941-8793
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
902348
MS
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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