Jacey L Mitchell (NPI# 1003895160, PAC ID# 4284651498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003895160 |
| PAC ID by PECOS | 4284651498 |
| Professional Enrollment ID | I20051027000444 |
| Full Name | Jacey L Mitchell |
| Organization Legal Name | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| Address |
3269 N Stockton Hill Rd Kingman AZ 86409-3619 |
| Phone Number | 9287572101 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860633435 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 | 9287572101 | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| Organization Legal Name | INNOVA EMERGENCY MEDICAL ASSOCIATES PC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Renee York | Nurse Practitioner | Innova Emergency Medical Associates PC | 410 Benedicta Ave, Trinidad, CO 81082-2005 |
| Andrew Rucker | Nurse Practitioner | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Adam G Dawson | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Jimmie Mccraw | Nurse Practitioner | Innova Emergency Medical Associates PC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Ruth Bennett | Family Medicine | Innova Emergency Medical Associates PC | 1313 E 32nd St, Silver City, NM 88061-7251 |
| Janelle Estrada | Emergency Medicine | Innova Emergency Medical Associates PC | 1501 N Williamson Ave, Winslow, AZ 86047-2735 |
| Stefan A Merrill | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Edward J Tognacci | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Elisha Richard Bremmer | Emergency Medicine | Innova Emergency Medical Associates PC | 1501 N Williamson Ave, Winslow, AZ 86047-2735 |
| Alexander Yates | Nurse Practitioner | Innova Emergency Medical Associates PC | 1501 N Williamson Ave, Winslow, AZ 86047-2735 |
| Street Address |
3269 N STOCKTON HILL RD |
| City | KINGMAN |
| State | AZ |
| Zip | 86409-3619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamal T Al-khatib | Internal Medicine | Kingman Hospital Inc | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Ted E Zegarra | Family Medicine | Kingman Hospital Inc | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Andrew Rucker | Nurse Practitioner | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Adam G Dawson | Emergency Medicine | Innova Emergency Medical Associates PC | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Donna Marie Clavo | Anesthesiology | Kingman Hospital Inc | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Lynnette Garman | Nurse Practitioner | Kingman Hospital Inc | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Lisa Yamamoto | Family Medicine | Kingman Hospital Inc | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Binh Thanh Nguyen | Physician Assistant | Kingman Hospital Inc | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Cristina Maria Murgiuc | Internal Medicine | Kingman Hospital Inc | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Candace Patrice Schuierer | Physician Assistant | Kingman Hospital Inc | 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra B Fedie | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| John A Weidner | Family Medicine | 3636 Stockton Hill Rd, Suite 2, Kingman, AZ 86409-0514 | |
| Jillian Musick | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Antony I Mwangi | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Muhammad A Khan | General Surgery | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Karen Gwinn | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Munawar A Paracha | Neurology | 1708 Sycamore Ave, Kingman, AZ 86409-0927 | |
| Marie Bridget Moran | Nurse Practitioner | Mohave Mental Health Clinic Inc | 1741 Sycamore Ave, Kingman, AZ 86409-0927 |
| Michael S Serrano | Nurse Practitioner | Mohave Mental Health Clinic Inc | 3505 Western Ave, Kingman, AZ 86409-0927 |
| Annika J Bergeson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Find all physicians in zip 86409 | |||
| City | KINGMAN |
| Zip Code | 86409 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KINGMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacey L Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.