Individual provider · Type 1 NPI
Jessica M. Mitchell, APRN, CNP
Acute Care Nurse Practitioner · Peoria, IL
NPI number
1174739205
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Fax (309) 624-8820
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Other practice locations
- 200 E Pennsylvania Ave, Peoria, IL 61603-3089 · (309) 624-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 041325897 (IL) |
| Nurse Practitioner | 363L00000X | 209-006817 (IL) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209006817 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1174739205
Jessica M. Mitchell, APRN, CNP's National Provider Identifier is 1174739205, issued on May 15, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Peoria, IL. The record was last updated on Mar 24, 2025.