JENTINA MITCHELL


Address: 20 Central Ave, Lynn, MA 01901-1201
Phone: 7814777222

JENTINA MITCHELL (NPI# 1447771829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447771829
Entity Type Individual
Full Name JENTINA MITCHELL
Credential PMHNP-BC
Practice Address 20 Central Ave
Lynn
MA 01901-1201
Mailing Address 138 Highland Ave Apt 23
Somerville
MA 02143-1642
Practice Telephone 7814777222
Enumeration Date 2017-07-06
Last Update Date 2017-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN2306688 MA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN2306688 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 20 CENTRAL AVE
City LYNN
State MA
Zip Code 01901-1201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962485748 Anthony Carl Erdmann Psychiatry & Neurology 20 Central Ave, Lynn, MA 01901-1201 2005-11-25
1760035836 Christine Marie Leibert Registered Nurse 20 Central Ave, Lynn, MA 01901-1201 2019-07-18
1336708734 Mary Dy Optometrist 20 Central Ave, Lynn, MA 01901-1201 2019-06-10
1043782717 Kannika Chap Student in an Organized Health Care Education/Training Program 20 Central Ave, Lynn, MA 01901-1201 2018-12-19
1568931459 Cindi C Flores Student in an Organized Health Care Education/Training Program 20 Central Ave, Lynn, MA 01901-1201 2018-11-20
1538636303 Wanda D Visnick Registered Nurse 20 Central Ave, Lynn, MA 01901-1201 2018-10-30
1962902569 Nakiba Nelson Registered Nurse 20 Central Ave, Lynn, MA 01901-1201 2018-02-20
1033619879 Saida Aitbouali Counselor 20 Central Ave, Lynn, MA 01901-1201 2018-02-19
1245730258 Sheillanne Wambui Student in an Organized Health Care Education/Training Program 20 Central Ave, Lynn, MA 01901-1201 2018-02-16
1255849733 Catherine Giello Registered Nurse 20 Central Ave, Lynn, MA 01901-1201 2018-01-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427515923 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 2019-02-21
1730680125 Sarah Sawulski Registered Nurse 269 Union Stree01901t, Lynn, MA 01901 2018-02-22
1184142895 Adrienne Wood Case Manager/Care Coordinator 100 Willow Street, Lynn, MA 01901 2017-09-01
1831613199 Marie Linda Yannaco-grant Social Worker 62 Market Street, Lynn, MA 01901 2017-07-28
1942723457 Michael Xinyu Miao Physical Therapy Assistant 1 Market Street, 3rd Floor, Lynn, MA 01901 2017-07-18
1730544743 Pediatric Dental Professionals LLC Dentist 391 Lynn Way, Bldg A, Lynn, MA 01901 2015-12-17
1346667748 Emily G. Joseph Social Worker 112 Market Street, 2nd Floor, Lynn, MA 01901 2014-03-24
1548510621 Serena M Smith Counselor 181 Union Street, Suite J, Lynn, MA 01901 2012-09-14
1043575624 Timothy J Bossie Optometrist 20 Central Avenue, Lynn, MA 01901 2012-07-10
1689946923 Lynn Dental Center Dentist 232 Union Street, Lynn, MA 01901 2012-02-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376160887 Rita Asiegbunam Nurse Practitioner 98 Kirtland St Apt 2, Lynn, MA 01905-1821 2020-06-30
1164561437 Gloria L. Burdett Nurse Practitioner 37 Friend St., Elder Service Plan of The North Shore, Lynn, MA 01902 2007-02-05
1215977665 Gail Margaret Analoro Nurse Practitioner 583 Chestnut St, Suite 12, Lynn, MA 01904-2600 2006-06-07
1780281832 Kenneth Chea Nurse Practitioner 694 Western Ave, Lynn, MA 01905-2229 2020-10-01
1194370130 Jocelyn Beatriz Mejia Nurse Practitioner 269 Union St, Lynn, MA 01901-1314 2019-08-06
1144675695 Anne-terese Vanderburg Nurse Practitioner 20 Central Ave, Lynn, MA 01901-1201 2016-05-03
1619366309 Whitney Gibson Nurse Practitioner 60 Granite Street, Bayridge, Lynn, MA 01904 2015-01-18
1720488778 Margery Walentuk Nurse Practitioner 269 Union St, Lynn, MA 01901-1314 2014-08-27
1689001059 Rechele Jordow Nurse Practitioner 60 Granite St, Lynn, MA 01904-2915 2013-10-01
1104133750 Matthew Twomey Nurse Practitioner 23 Central Ave, Lynn, MA 01901-1220 2010-09-02
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Competitor

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City LYNN
Zip Code 01901

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Dataset Information

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.

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