Individual provider · Type 1 NPI

Jevon Patrick Gegg-Mitchell, PA-C, FNP, RN

Family Nurse Practitioner · Stanford, CA

NPI number 1245500065 Active

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Call (650) 723-4000 Map

Mailing address

1804 Embarcadero Rd, Ste 100
Palo Alto, CA 94303-3341

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X769525 (CA)
Physician Assistant 363A00000XPA22395 (CA)
Family Nurse Practitioner Primary 363LF0000X95000037 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1245500065

Jevon Patrick Gegg-Mitchell, PA-C, FNP, RN's National Provider Identifier is 1245500065, issued on Jan 10, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stanford, CA. The record was last updated on Sep 28, 2016.