| NPI | 1144661984 |
|---|---|
| Former Name | JESSICA DAWN MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH COA.14760-NP) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2022-01-28 |