Jessica M Mitchell in Peoria - Nurse Practitioner
Jessica M Mitchell - NPI 1174739205
Jessica M Mitchell is a Nurse Practitioner in Peoria, Illinois. Jessica M Mitchell practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jessica M Mitchell is 1174739205. The last update date is 2012-11-16.
Jessica M Mitchell's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096248818 and fax number 3096248820. The mailing address for Jessica M Mitchell is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica M Mitchell |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096248818 |
| Fax Number | 3096248820 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1174739205 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2012-11-16 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096248818 |
| Fax Number | 3096248820 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 209-006817 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique identification code assigned to Jessica M Mitchell by the Centers for Medicare & Medicaid Services?
The Jessica M Mitchell has been issued the NPI (National Provider Identifier) 1174739205. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jessica M Mitchell located?
The Jessica M Mitchell is located at 530 Ne Glen Oak Ave, Peoria, IL 616370001.
What is Jessica M Mitchell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessica M Mitchell is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
When did Jessica M Mitchell receive its 1174739205 assignment?
The Jessica M Mitchell was assigned its 1174739205 on 2007-05-15, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Jessica M Mitchell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica M Mitchell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-16.