Active NPI
Jacqueline Mitchell
- Occupational Health Nurse Practitioner
- Georgetown, TX
National Provider Identifier
1124978960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- 1016209
- Practice address
- 4749 Williams Dr Ste 304
Georgetown, TX 78633-3700 - Phone
- (512) 838-3808
- NPI assigned
- Jan 31, 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 |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | 1016209 | TX | Primary |
Addresses
Primary practice location
4749 Williams Dr Ste 304
Georgetown, TX 78633-3700
Mailing address
4749 Williams Dr Ste 304
Georgetown, TX 78633-3700
Phone (512) 838-3808
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 |
|---|---|---|---|
| 1016209 | TX | MD | Occupational Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769817600000",
"number": "1124978960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4749 WILLIAMS DR STE 304",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786333700",
"telephone_number": "512-838-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4749 WILLIAMS DR STE 304",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786333700",
"telephone_number": "512-838-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-31",
"last_updated": "2026-01-31",
"certification_date": "2026-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "TX",
"license": "1016209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.