| NPI | 1356851406 |
|---|---|
| Former Name | ALEXIS DENICE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN298221) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-131541) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2021-02-17 |