| NPI | 1720214398 |
|---|---|
| Other Name | JENNIFER LYNN MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA1869) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0003960) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2024-05-05 |