Mitchell, Jessica

Mitchell, Jessica is an individual health care provider with primary practice located at 353 New Shackle Island Rd , Hendersonville TN 37075. 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, Jessica can be contacted via phone (615) 824-3737.

Contact Information

Primary practice address
353 New Shackle Island Rd Hendersonville TN 37075
Phone: (615) 824-3737
Fax: (888) 687-6133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2243 Tennessee

Profile Details

NPI number 1003153743
LBN Legal business name Mitchell, Jessica
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2013
Last updated Nov 29th, 2018 - about 8 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 1003153743 NPPES
Tennessee MEDICAID 1531250
Tennessee MEDICAID 7100259470

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