| NPI | 1104225093 |
|---|---|
| Former Name | JODI MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH coa16062np) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH coa16062np) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2021-01-22 |