Organization
CENTER CARE CLINIC PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAQUARRA LASTAYSHA MITCHELL FNP-BC (CHIEF EXECUTIVE OFFICER)
(903) 787-2219
Entity
Organization
Contact information
Practice address
1738 S JACKSON ST, JACKSONVILLE, TX 75766-5831
(903) 787-2219
Mailing address
1738 S JACKSON ST, JACKSONVILLE, TX 75766-5831
(903) 787-2219
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us