MRS. JACKALYN LEE MITCHELL (NPI# 1801964978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801964978 |
| Entity Type | Individual |
| Full Name | MRS. JACKALYN LEE MITCHELL |
| Credential | RN, OGNP |
| Practice Address |
612 College St Jacksonville NC 28540-5311 |
| Practice Telephone | 9103472154 |
| Practice Fax Number | 9103470728 |
| Mailing Telephone | 9103472154 |
| Mailing Fax Number | 9103470728 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
76450 | NC | Allopathic & Osteopathic Physicians |
| X | 363L00000X | Nurse Practitioner | 76450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
76450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
76450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
76450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
76450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
76450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| X | 364SP1700X |
Clinical Nurse Specialist Specialization: Perinatal |
76450 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
612 COLLEGE ST |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263098 | Linda Smoot Sayko | Nurse Practitioner | 612 College St, Jacksonville, NC 28540-5311 | 2005-05-28 |
| 1902439169 | Wilmington Health Pllc | Clinic/Center | 612 College St, Jacksonville, NC 28540-5311 | 2020-02-17 |
| 1326686213 | Sierra Grainger Cook | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2019-12-11 |
| 1699239814 | Haley Smith | Midwife | 612 College St, Jacksonville, NC 28540-5311 | 2019-01-23 |
| 1801305974 | Barbara M Benson | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2017-09-21 |
| 1073044202 | Aisha Ford | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2017-03-21 |
| 1629516034 | Sara Munson | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2017-02-06 |
| 1225586795 | Briana Nicole Terry | Nurse Practitioner | 612 College St, Jacksonville, NC 28540-5311 | 2016-09-14 |
| 1225586910 | Paula Hissett | Dietitian, Registered | 612 College St, Jacksonville, NC 28540-5311 | 2016-09-12 |
| 1851794465 | Sydnie Rene Leroy | Dietitian, Registered | 612 College St, Jacksonville, NC 28540 | 2014-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184909509 | Us Care Management, Inc. | Preventive Medicine | 12740 Gran Bay Parkway, Suite #2400, Jacksonville, FL 32258-5495 | 2011-10-17 |
| 1790099257 | Monees Hussain Syed | Preventive Medicine | Concentra Urgent Care, 5995-1 University Blvd, West, Jacksonville, FL 32216 | 2010-07-27 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1306227988 | Asana Wellness Center, LLC | Preventive Medicine | 9119 Merrill Rd, Suite # 32, Jacksonville, FL 32225-4312 | 2015-06-09 |
| 1063773547 | Olayinka David Ajayi | Preventive Medicine | 4498 Hendricks Ave, Jacksonville, FL 32207-6326 | 2012-05-31 |
| 1669784310 | Nathan Adam Daley | Preventive Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2010-07-10 |
| 1942378096 | Jane Louise Rogers | Preventive Medicine | 612 College St, Jacksonville, NC 28540-5311 | 2006-11-30 |
| 1790895829 | Robert Gerald Harmon | Preventive Medicine | 515 W 6th St, Mc #33, Jacksonville, FL 32206-4324 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445325 | Tonya Blache | Preventive Medicine | 1117 Chilmark Ave, Wake Forest, NC 27587-5334 | 2015-08-28 |
| 1366821191 | Health Hero Usa LLC | Preventive Medicine | 7845 Colony Rd, Suite C4 #262, Charlotte, NC 28226-7681 | 2015-05-26 |
| 1467696807 | Thomas Warden Morris | Preventive Medicine | 514 Daniels St, Suite 187, Raleigh, NC 27605-1317 | 2009-04-29 |
| 1922246065 | Peter Delaney Morris | Preventive Medicine | 2020 Yonkers Rd, Raleigh, NC 27699-0001 | 2009-01-28 |
| 1114196920 | Dianne Seaman Mathews | Preventive Medicine | 7601 Radin Rd, Clinic, Waxhaw, NC 28173-9158 | 2008-02-26 |
| 1891981247 | Charles Timothy Monroe | Preventive Medicine | 799 N Highland Ave, Winston Salem, NC 27102-0686 | 2007-09-19 |
| 1629283718 | Sharon Lee Norling | Preventive Medicine | 1507 Haywood Rd Ste E, Hendersonville, NC 28791-2333 | 2007-05-11 |
| 1982652558 | John Thomas Ashley | Preventive Medicine | 81 Horizon Hill Rd, Asheville, NC 28804-2429 | 2006-05-05 |
| 1679530752 | David F. Ward | Preventive Medicine | 35 W Jordan St, Brevard, NC 28712-3675 | 2006-05-01 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
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| 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.