Mitchell, Jennifer Lynn

Mitchell, Jennifer Lynn is an sole proprietor health care provider with primary practice located at 4203 Hospital Rd , Coal Township PA 17866-9668. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mitchell, Jennifer Lynn can be contacted via phone (570) 644-2614.

Contact Information

Primary practice address
4203 Hospital Rd Coal Township PA 17866-9668
Phone: (570) 644-2614
Fax: (570) 644-2618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA061212 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA005872 Pennsylvania

Profile Details

NPI number 1811538598
LBN Legal business name Mitchell, Jennifer Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2019
Last updated Jun 11th, 2026 - about 5 months 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 1811538598 NPPES
Pennsylvania Other 894775 MEDICARE
Pennsylvania MEDICAID 103713095 MEDICARE

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