Individual provider · Type 1 NPI

Kathleen Bernice Mitchell, CPNP

Pediatric Nurse Practitioner · Fort Lee, VA

NPI number 1366433344 Active

Practice location

700 24th St
Fort Lee, VA 23801-1716

Fax (804) 734-9594

Mailing address

3815 Plantation Ct
Petersburg, VA 23803-9444

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X214688 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366433344

Kathleen Bernice Mitchell, CPNP's National Provider Identifier is 1366433344, issued on Oct 31, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Lee, VA. The record was last updated on Jul 13, 2026.