Sarah Nicole Mitchell, LPN

Individual provider Active NPI Licensed Vocational Nurse · Trenton, TN

NPI 1629628300 · NPPES record last updated Sep 16, 2019

Key facts

NPI
1629628300
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
0000090577 (TN)
Practice address
1250 S Manufacturers Row
Trenton, TN 38382-3632
Phone
(731) 855-7601
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0000090577TNMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 0000090577 TN Yes

Addresses

Primary practice location

1250 S Manufacturers Row
Trenton, TN 38382-3632

Mailing address

1250 S Manufacturers Row
Trenton, TN 38382-3632
Phone (731) 855-7601

Other providers in Trenton, TN

All providers in Trenton, TN · Licensed Vocational Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.