MEDICARE: JEANETTA WATTS-MITCHELL

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	363LF0000X	Family Nurse Practitioner	APRN11044159	FL

General Provider Information

NPI Number	:	1215891072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEANETTA WATTS-MITCHELL

Provider Business Mailing Address
First Line	:	941 29TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-5034
Country	:	US
Telephone Number	:	561-574-2564
Fax Number	:

Provider Business Practice Location Address
First Line	:	10625 N MILITARY TRL STE 102
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-6548
Country	:	US
Telephone Number	:	561-249-7626
Fax Number	:	561-249-7713

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1114989605 — DANIEL NADER DARIA MD
Practice Location Address:

10625 N MILITARY TRL STE 102
PALM BEACH GARDENS, FL
33410-6548

Practice Phone: 561-249-7626
Practice Fax: 561-249-7713

1699294132 — GREENLAKE MANAGEMENT, LLC
Practice Location Address:

10625 N MILITARY TRL STE 201
PALM BEACH GARDENS, FL
33410-6548

Practice Phone: 561-366-7303
Practice Fax: 561-366-7305

1326748302 — ALISHA CHRISTIAN RDH
Practice Location Address:

10625 N MILITARY TRL STE 201
PALM BEACH GARDENS, FL
33410-6548

Practice Phone: 561-366-7303
Practice Fax:

1922380914 — JOSEPH FRANK LALIA D.O.
Practice Location Address:

1805 N FLAGLER DR APT 304
WEST PALM BEACH, FL
33407-6548

Practice Phone: 954-203-3584
Practice Fax:

1376424937 — JEMIMA MALVOISIN
Practice Location Address:

8 RODGER PL
PALM COAST, FL
32164-6548

Practice Phone: 386-283-2256
Practice Fax:

Directions to “ JEANETTA WATTS-MITCHELL ” 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 © 2007-2026 (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.