Jeanette Brown Mitchell, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN118861 Issued in GA

Practice address

300 Bull St
Suite 102
Savannah, GA 31401-4347

Phone

(912) 231-9956

Fax

(912) 232-1148

NPI assigned

Sep 16, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jeanette Lavern Brown Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: jeanette.mitchell.p77@direct.tenet.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1184873069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BULL ST",
            "address_2": "SUITE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014347",
            "telephone_number": "912-231-9956",
            "fax_number": "912-232-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BULL ST",
            "address_2": "SUITE 102",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014347",
            "telephone_number": "912-231-9956",
            "fax_number": "912-232-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JEANETTE",
        "middle_name": "BROWN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN118861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "461330251D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01003828",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "BROWN MITCHELL",
            "middle_name": "LAVERN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alan Mitchell, MD
• Chasten Kate Mitchell, RBT
• Divya Chand Mitchell, APRN, FNP-BC
• Erin Mitchell, DC
• James Howard Mitchell III, MD
• Jo Anne Alger Mitchell, M.ED.,LPC
• Kanesha Mitchell, RPH
• Kayla Maureen Mitchell
• Lakeya Nichole Mitchell
• Marcy Mitchell, RN

• Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.