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General NPI Number Information
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NPI Number | 1194691766
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Entity Type | Individual
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Provider Name | JODI ELAINE JOHNSON MITCHELL BSN-RN
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Gender | Female
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 333 AXTON DR
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City | KNOXVILLE
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State | TN
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Zip | 37934-2555
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Country | US
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Telephone | 865-978-7929
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Fax |
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Provider Business Mailing Address
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Address Line | 816 GULFWOOD RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-2282
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Country | US
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Telephone | 865-978-7929
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 181198
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License Number State | TN
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