Mary Ellen Mitchell is a Family in Tupelo, Mississippi. Mary Ellen Mitchell practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Ellen Mitchell is 1780668954. The last update date is 2016-11-15.
Mary Ellen Mitchell's current location address is Po Box 21, Tupelo, Mississippi. You can contact this provider via phone number 6626805565 and fax number 6628408636. The mailing address for Mary Ellen Mitchell is Po Box 21, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Mitchell |
|---|---|
| Address | Po Box 21, Tupelo, Mississippi |
| Phone Number | 6626805565 |
| Fax Number | 6628408636 |
| Sole Proprietor | N |
| Credentials | MSN,FNP |
NPI Number Detail
| NPI Number | 1780668954 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2016-11-15 |
Provider Mailing Address Detail
| Address | Po Box 21 |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388020021 |
| Phone Number | 6626805565 |
| Fax Number | 6628408636 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R863519 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 126313 | MS | -- | |
| 0355656-22 | MS | ANCC CERTIFICATION FNP | |
| R863519 | MS | RN LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Ellen Mitchell by the Centers for Medicare & Medicaid Services?
The Mary Ellen Mitchell has been assigned the NPI (National Provider Identifier) 1780668954. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary Ellen Mitchell is physically located?
The Mary Ellen Mitchell is physically situated at the following address: Po Box 21, Tupelo, MS, 388020021.
What is Mary Ellen Mitchell's area of expertise and its corresponding taxonomy classification?
The Mary Ellen Mitchell's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1780668954 to Mary Ellen Mitchell?
The Mary Ellen Mitchell received its 1780668954 assignment from the Centers for Medicare & Medicaid Services on 2005-12-01.
As of what date was the information regarding Mary Ellen Mitchell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Ellen Mitchell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-15.