Chiketta Mitchell, RN, AGNP
Nurse Practitioner, Adult Health in Jonesboro, GA. Individual provider (NPI-1).
NPI number1972967321
StatusActive
Last updated in NPPESApr 12, 2016
Details
- NPI
- 1972967321
- Entity type
- Individual (NPI-1)
- Name
- Chiketta Mitchell
- Credential
- RN, AGNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2016
- Last updated
- Apr 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | RN185613 | GA | Yes |
Practice location
517 Maggie LnJonesboro, GA 30238-3405
Phone 678-907-4703
Mailing address
517 Maggie LnJonesboro, GA 30238-3405
Phone 678-907-4703
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