Mitchell, Jacquelyn
Mitchell, Jacquelyn is an sole proprietor health care provider with primary practice located at 3801 Miranda Ave , Palo Alto CA 94304-1207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Oncology, which is considered as her primary health care specialty. Mitchell, Jacquelyn can be contacted via phone (808) 258-7150.Contact Information
Primary practice address
3801 Miranda Ave
Palo Alto CA 94304-1207
Phone: (808) 258-7150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Oncology | 364SX0200X | APRN818 | Hawaii |
Profile Details
| NPI number | 1548994858 |
|---|---|
| LBN Legal business name | Mitchell, Jacquelyn |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2022 |
| Last updated | Jul 12th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548994858 | NPPES |
| Hawaii | Other | 818 | VA |
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