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General NPI Number Information
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NPI Number | 1487561080
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Entity Type | Individual
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Provider Name | JENNAY RENEE MITCHELL NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 5000 HENNESSY BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70808-4375
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Country | US
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Telephone | 225-769-2200
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Fax | 833-756-2680
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Provider Business Mailing Address
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Address Line | 1405 PIN OAK DR
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City | SAINT GABRIEL
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State | LA
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Zip | 70776-4612
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Country | US
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Telephone | 225-363-0434
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Fax | 833-756-2680
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 205366
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License Number State | LA
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