Active NPI
Jean Lynette Mitchell, FNP
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1114871381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95033419
- Practice address
- 7409 S Broadway
Los Angeles, CA 90003-2033 - Phone
- (310) 933-4590
- NPI assigned
- Feb 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95033419 | CA | Primary |
Addresses
Primary practice location
7409 S Broadway
Los Angeles, CA 90003-2033
Mailing address
18370 Burbank Blvd
Tarzana, CA 91356-2804
Phone (818) 378-9455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95033419 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1114871381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562804",
"telephone_number": "818-378-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7409 S BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900032033",
"telephone_number": "310-933-4590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JEAN",
"middle_name": "LYNETTE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95033419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.