MEDICARE: MS. LONI JEAN MITCHELL RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WH0200X	Home Health Registered Nurse	RN3120162	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3120162	OTHER	FL	REGISTERED NURSE

General Provider Information

NPI Number	:	1184843468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LONI JEAN MITCHELL RN

Provider Business Mailing Address
First Line	:	4635 EMERSON AVE S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33711-1437
Country	:	US
Telephone Number	:	727-687-1250
Fax Number	:	727-323-6864

Provider Business Practice Location Address
First Line	:	4635 EMERSON AVE S
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33711-1437
Country	:	US
Telephone Number	:	727-687-1250
Fax Number	:	727-323-6864

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/09/2007

Similar Medicare Providers

1265010151 — MISS JOANNA GILLIAM LMFT
Practice Location Address:

1437 38TH AVE N
SAINT PETERSBURG, FL
33704-1048

Practice Phone: 620-481-4000
Practice Fax:

1932298502 — DR. DUANE CLAY KELLER D.M.D.
Practice Location Address:

3929 BAYLESS AVE
SAINT LOUIS, MO
63125-1437

Practice Phone: 314-638-4190
Practice Fax: 314-638-3900

1306935986 — KELLER PROFESSIONAL GROUP, DMD, PC
Practice Location Address:

3929 BAYLESS AVE
SAINT LOUIS, MO
63125-1437

Practice Phone: 314-638-4190
Practice Fax: 314-638-3900

1508165747 — CENTER FOR NURTURING AND GROWTH
Practice Location Address:

1437 MARSHALL AVE STE 106
SAINT PAUL, MN
55104-6345

Practice Phone: 651-276-0607
Practice Fax:

1154686590 — ANISSA NICOLE KEYES MA, LMFT, LICSW
Practice Location Address:

1437 MARSHALL AVE # 204
SAINT PAUL, MN
55104-6350

Practice Phone: 612-284-8115
Practice Fax: 763-273-8892

1457781114 — NANCY HUDGINS MA, LPC
Practice Location Address:

1437 MARSHALL AVE , SUITE 106
SAINT PAUL, MN
55104-6350

Practice Phone: 612-600-3827
Practice Fax:

Directions to “ MS. LONI JEAN MITCHELL RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.