Mitchell, Jessica M

Mitchell, Jessica M is an individual health care provider with primary practice located at 874 Purchase St , New Bedford MA 02740-6232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mitchell, Jessica M can be contacted via phone (508) 992-6553.

Contact Information

Primary practice address
874 Purchase St New Bedford MA 02740-6232
Phone: (508) 992-6553
Fax: (508) 984-8420
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2271212 Massachusetts

Profile Details

NPI number 1285979732
LBN Legal business name Mitchell, Jessica M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated May 1st, 2015 - about 9 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 1285979732 NPPES
Massachusetts Other 2271212 LICENSE

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