Individual provider · Type 1 NPI

Threase Y. Mitchell, NP

Nurse Practitioner · Shreveport, LA

NPI number 1457971889 Active

Practice location

1505 E Bert Koun Loop Ste 101
Shreveport, LA 71105-5723

Mailing address

6806 Oakmantle Dr
Houston, TX 77085-1336

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP145563 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1457971889

Threase Y. Mitchell, NP's National Provider Identifier is 1457971889, issued on Apr 27, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shreveport, LA. The record was last updated on Dec 15, 2021.