Individual provider · Type 1 NPI

Mitchell Scott Mathes

Nurse Practitioner · Lewisburg, TN

NPI number 1992628267 Active

Practice location

1307 N Ellington Pkwy
Lewisburg, TN 37091-2217

Mailing address

402 Kelso Mulberry Rd
Mulberry, TN 37359-5106

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X195714 (TN)
Nurse Practitioner Primary 363L00000X195714 (TN)

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 1992628267

Mitchell Scott Mathes's National Provider Identifier is 1992628267, issued on Aug 3, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lewisburg, TN. The record was last updated on Aug 23, 2026.