Individual provider · Type 1 NPI

Chaquarra Lastaysha Mitchell

Family Nurse Practitioner · Jacksonville, TX

NPI number 1932923265 Active

Practice location

510 E Commerce St
Jacksonville, TX 75766-4910

Fax (903) 586-0001

Mailing address

523 S Fannin Ave
Tyler, TX 75702-8204

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X1179676 (TX)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

Other family nurse practitioner providers in Jacksonville

See all in Jacksonville →

About NPI 1932923265

Chaquarra Lastaysha Mitchell's National Provider Identifier is 1932923265, issued on Nov 13, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, TX. The record was last updated on Nov 13, 2024.