Healthcare Provider Details

I. General information

NPI: 1699568295
Provider Name (Legal Business Name): JAZMIN INEZ MITCHELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 RONALD REAGAN BLVD APT 3200
JOHNSTOWN CO
80534-6576
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 720-202-1224
  • Fax:
Mailing address:
  • Phone: 970-624-2414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.1000805-NP
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN.1000805-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: