Mitchell, Mary Ellen
Mitchell, Mary Ellen is an individual health care provider with primary practice located at 589 Garfield St Suite 201, Tupelo MS 38801-6301. 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, Mary Ellen can be contacted via phone (662) 680-5565.Contact Information
Primary practice address
589 Garfield St Suite 201
Tupelo MS 38801-6301
Phone: (662) 680-5565
Fax: (662) 840-8636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R863519 | Mississippi |
Profile Details
| NPI number | 1780668954 |
|---|---|
| LBN Legal business name | Mitchell, Mary Ellen |
| Credentials | MSN,FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Nov 15th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780668954 | NPPES |
| Mississippi | MEDICAID | 0126313 | |
| Mississippi | Other | 0355656-22 | |
| Mississippi | Other | R863519 |
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