TRACIE MICHELLE MITCHELL

TALLADEGA, AL
NPI1801368618
Professional NameT. MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AL  1-072535)
Additional Taxonomies163WG0000X Registered Nurse, General Practice
(Licence: AL  1-072535)
261QR1300X Clinic/Center, Rural Health
(Licence: AL  1-072535)
Enumeration Date2018-12-19
Last Update Date2020-03-04
Business Address
TRACIE MICHELLE MITCHELL CRNP
1004 SOUTH ST E
TALLADEGA, AL 35160-2621
Phone number: 256-493-6402
Mailing Address
TRACIE MICHELLE MITCHELL CRNP
1004 SOUTH ST E STE A
TALLADEGA, AL 35160-2621
Phone number: 256-362-2013