Chiketta Mitchell, RN, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN185613 Issued in GA

Practice address

517 Maggie LN
Jonesboro, GA 30238-3405

Phone

(678) 907-4703

NPI assigned

Apr 12, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1972967321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 MAGGIE LN",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302383405",
            "telephone_number": "678-907-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 MAGGIE LN",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302383405",
            "telephone_number": "678-907-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHIKETTA",
        "credential": "RN, AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN185613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Milligan
• Millren Enterprise, LLC
• Antoinette Milton-Johnson, MSW
• Wakako Minamotowood, MA, S/T
• Mindset Development Center
• Sharon C Mitchell, LDO
• Tarissa Mitchell, M.D.
• Benedeth Uju Moh
• Sarfraz Ahmad Mohamed, MD
• Mecca Mohammed

• Adult Health Nurse Practitioner in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.