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NPI Code Detail

MEDICARE: MRS. SUMMER MITCHELL FNP-BC

MEDICARE: MRS. SUMMER MITCHELL FNP-BC
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
1363LF0000XFamily Nurse PractitionerR885728MS

General Provider Information

NPI Number : 1538558473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUMMER MITCHELL FNP-BC
Provider Business Mailing Address
First Line : 970 LAKELAND DR STE 61
Second Line :
City : JACKSON
State : MS
Zip : 39216-4682
Country : US
Telephone Number : 601-982-7850
Fax Number :
Provider Business Practice Location Address
First Line : 970 LAKELAND DR STE 61
Second Line :
City : JACKSON
State : MS
Zip : 39216-4682
Country : US
Telephone Number : 601-982-7850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2015
Last Update Date : 01/11/2021

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Directions to “ MRS. SUMMER MITCHELL FNP-BC” Practice Location

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