MR. JOHN PAUL MIZELLE (NPI# 1174099279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174099279 |
| Entity Type | Individual |
| Full Name | MR. JOHN PAUL MIZELLE |
| Credential | CRNP |
| Practice Address |
2017 Obrig Ave Guntersville AL 35976-2156 |
| Mailing Address |
4534 Blairmont Dr Se Owens Cross Roads AL 35763-8013 |
| Practice Telephone | 2565822324 |
| Mailing Telephone | 2566797438 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-089397 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437676624 | John Mizelle | Marriage & Family Therapist | 573 Soquel Ave, Santa Cruz, CA 95062-2309 | 2017-08-28 |
| Street Address |
2017 OBRIG AVE |
| City | GUNTERSVILLE |
| State | AL |
| Zip Code | 35976-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467676676 | Jess H Youngblood | General Practice | 2017 Obrig Ave, Guntersville, AL 35976-2156 | 2007-04-12 |
| 1538698964 | Allison F Brewster | Family Medicine | 2017 Obrig Ave, Guntersville, AL 35976 | 2017-06-08 |
| 1730626631 | Destiny Tucker | Nurse Practitioner | 2017 Obrig Ave, Guntersville, AL 35976-2156 | 2017-01-30 |
| 1336698414 | Bethany Giudici | Nurse Practitioner | 2017 Obrig Ave, Guntersville, AL 35976-2156 | 2016-09-29 |
| 1831493675 | Premier Family Care, LLC | Family Medicine | 2017 Obrig Ave, Guntersville, AL 35976-2156 | 2011-01-10 |
| 1487968525 | Premier Family Care, LLC | Clinic/Center | 2017 Obrig Ave, Guntersville, AL 35976-2156 | 2010-07-30 |
| 1619177516 | Tisha R Griffin | Nurse Practitioner | 2017 Obrig Ave, Guntersville, AL 35976-2156 | 2007-07-19 |
| 1477756542 | James Russell Hutcherson | Nurse Practitioner | 2017 Obrig Ave, Guntersville, AL 35976-2156 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322818 | Sienna Berryman | Nurse Practitioner | Marshall County Health Department, 150 Judy Smith Drive, Guntersville, AL 35976 | 2019-08-22 |
| 1548821176 | Christopher Leo Harman | Nurse Practitioner | 1084 Heritage Dr, Guntersville, AL 35976 | 2019-06-25 |
| 1134685324 | Jennifer Lynn Sanders | Nurse Practitioner | Marshall Medical Center North, 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2019-02-13 |
| 1841761814 | Emily Defourneaux | Nurse Practitioner | 8000 Al-69, Guntersville, AL 35976 | 2018-12-16 |
| 1447746433 | Christina Turner Godfrey | Nurse Practitioner | 7938 Al-69, Suite 130, Guntersville, AL 35976 | 2018-07-02 |
| 1871014969 | Katherine Greer Kennedy | Optometrist | 390 Gunter Ave, Guntersville, AL 35976 | 2017-06-29 |
| 1225577349 | Katie Giles | Nurse Practitioner | 55 Rowe Dr Ste A, Guntersville, AL 35976 | 2017-02-22 |
| 1700217551 | Jubal Matthews | Chiropractor | 12844 Suite B U.s Hwy 431, Guntersville, AL 35976 | 2013-12-04 |
| 1326479171 | Jubilee Family Chiropractic LLC | Chiropractor | 12844 Suite B. U.S. Hwy 431, Guntersville, AL 35976 | 2013-12-04 |
| 1407286776 | Lashae Watkins | Physician Assistant | 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2013-11-22 |
| Find all providers in zip 35976 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365613 | Laney R Poole | Nurse Practitioner | 2059 Obrig Ave Apt 2, Guntersville, AL 35976-2120 | 2020-08-03 |
| 1699322818 | Sienna Berryman | Nurse Practitioner | Marshall County Health Department, 150 Judy Smith Drive, Guntersville, AL 35976 | 2019-08-22 |
| 1548821176 | Christopher Leo Harman | Nurse Practitioner | 1084 Heritage Dr, Guntersville, AL 35976 | 2019-06-25 |
| 1134685324 | Jennifer Lynn Sanders | Nurse Practitioner | Marshall Medical Center North, 8000 Alabama Hwy 69, Guntersville, AL 35976 | 2019-02-13 |
| 1598221715 | Emma Walker Black | Nurse Practitioner | 3520 Warrenton Rd, Guntersville, AL 35976-6028 | 2019-02-12 |
| 1841761814 | Emily Defourneaux | Nurse Practitioner | 8000 Al-69, Guntersville, AL 35976 | 2018-12-16 |
| 1447746433 | Christina Turner Godfrey | Nurse Practitioner | 7938 Al-69, Suite 130, Guntersville, AL 35976 | 2018-07-02 |
| 1538408612 | Lindsay Burns Miller | Nurse Practitioner | 45 Medical Park Dr. Suite B, Guntersville, AL 35976 | 2013-02-08 |
| 1285942938 | Rhonda Patterson | Nurse Practitioner | 150 Judy Smith Dr, Guntersville, AL 35976-4500 | 2010-09-15 |
| 1346220191 | Vivian Nell Hannon | Nurse Practitioner | 1241 Blount Ave, Guntersville, AL 35976-1831 | 2006-01-18 |
| Find all providers in GUNTERSVILLE | ||||
| City | GUNTERSVILLE |
| Zip Code | 35976 |
Please comment or provide details below to improve the information on MR. JOHN PAUL MIZELLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.