MARY ELLEN MITCHELL MSNFNP NPI 1780668954

NPI Information

NPI: 1780668954
Provider Name: MARY ELLEN MITCHELL, MSN,FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
589 GARFIELD ST
SUITE 201
TUPELO, MS
ZIP 38801
Phone: (662) 680-5565
Get Directions

Mary Ellen Mitchell, MSN,FNP is a family nurse practitioner in Tupelo, MS. Mary Ellen Mitchell, MSN,FNP NPI is 1780668954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

589 GARFIELD ST
SUITE 201
TUPELO, MS
ZIP 38801-301
Phone: (662) 680-5565
Fax: (662) 840-8636

The NPI 1780668954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 11/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R863519	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0126313	MEDICAID	MISSISSIPPI
2	0355656-22	OTHER	MISSISSIPPI	ANCC CERTIFICATION FNP
3	500001122	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	INDIVIDUAL MEDICARE #
4	500001122	MEDICARE PIN	MISSISSIPPI
5	R863519	OTHER	MISSISSIPPI	RN LICENSE NUMBER
6	P73054	MEDICARE UPIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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