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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1659597185 | NPPES |
Maryland | MEDICAID | 021086200 |
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