Mitchell, Jeanette Ophelia

Mitchell, Jeanette Ophelia is an sole proprietor health care provider with primary practice located at 8337 Cherry Ln , Laurel MD 20707-4828. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mitchell, Jeanette Ophelia can be contacted via phone (667) 367-8735.

Contact Information

Primary practice address
8337 Cherry Ln Laurel MD 20707-4828
Phone: (667) 367-8735
Fax: (443) 317-2996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R137979 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R137979 Maryland

Profile Details

NPI number 1659597185
LBN Legal business name Mitchell, Jeanette Ophelia
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Sep 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659597185 NPPES
Maryland MEDICAID 021086200

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