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Individual

MRS. CAROLYN LEE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4428 SUTHERLAND AVE, KNOXVILLE, TN 37919-5008
(865) 588-6425
(865) 671-2879
Mailing address
832 W WOODCHASE RD, KNOXVILLE, TN 37934-1647
(865) 207-2193
(865) 966-6062

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10996
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0091462
TN
Enumeration date
06/14/2006
Last updated
04/18/2011
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