Jenny Lee Mitchell, NP
Individual provider Active NPI Family Nurse Practitioner · Crawford, CO
NPI 1689697286 · NPPES record last updated Aug 7, 2014
Key facts
- NPI
- 1689697286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5131 (CO)
- Practice address
- 375 Elm Avenue
Crawford, CO 81415-9173 - Phone
- (970) 921-5501
- NPI assigned
- Jul 25, 2006
- 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)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5131 | CO | Yes |
Addresses
Primary practice location
375 Elm Avenue
Crawford, CO 81415-9173
Mailing address
4455 Clark Rd
Crawford, CO 81415-9173
Phone (970) 812-6403
Other providers in Crawford, CO
- Alisha M Adrian
- Randolph Cort Galbreath
- Gateways to Transformation LLC
- Thomas Leach
- Needlerock Family Health Clinic
- Ryan Lee Peters
- Rites of Passage
- Rachelle Lizette Roby
- The Mama Coach-Karissa Martin, LLC
All providers in Crawford, CO · Family Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.