| NPI | 1104225093 |
|---|---|
| Former Name | JODI MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: OH APRN.CNP.16062) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: OH COA16062NP) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2024-10-12 |