Jennifer L Mitchell, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R0064472 Issued in OK

Practice address

863 N Miami Ave
Chouteau, OK 74337-3750

Phone

(918) 855-9004

NPI assigned

Apr 23, 2019

Last updated

Mar 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PWWL Centers, LLC

  dba Physician's Wellness & Weight Loss

  • Community Health Clinic/Center
  • Colcord, OK
  • NPI 1154198737
  NPD (past)

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1750945903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "863 N MIAMI AVE",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743373750",
            "telephone_number": "918-855-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 N MIAMI AVE",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743373750",
            "telephone_number": "918-855-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9900 Bren Rd E",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553439664",
            "country_code": "US",
            "telephone_number": "800-367-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "938 S Lynn Riggs Blvd",
            "address_purpose": "LOCATION",
            "city": "Claremore",
            "state": "OK",
            "postal_code": "740178302",
            "country_code": "US",
            "telephone_number": "918-855-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0064472",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0064472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Bernice Kroeker, D.O.
• Virginia Lampson
• Xavier D Martin
• Mayes County Counseling and Resources PLLC
• Sarah Megee
• Jane Montanaro
• Osu Center for Health Sciences (Osu-Aj Utica Park Clinic Chouteau)
• Robert E Fox Jr
• Kelsey Lane Robertson
• Jeremy Scott Smith

• Family Nurse Practitioner in Chouteau, OK
• Providers in Chouteau, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.