Mrs Jackalyn Lee Mitchell, RN, OGNP - Clinical Nurse Specialist in Jacksonville, NC

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Mrs Jackalyn Lee Mitchell, RN, OGNP is a Clinical Nurse Specialist - Perinatal physician based in Jacksonville, North Carolina. Mrs Jackalyn Lee Mitchell is licensed to practice in North Carolina (license number 76450) and her current practice location is 612 College St, Jacksonville, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 347-2154.

NPI number for Mrs Jackalyn Lee Mitchell is 1801964978 and her current mailing address is 612 College St, Jacksonville, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801964978.

Contact Information

Mrs Jackalyn Lee Mitchell, RN, OGNP
612 College St,
Jacksonville, NC 28540-5311
(910) 347-2154
(910) 347-0728

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Physician's Profile

Full NameMrs Jackalyn Lee Mitchell
GenderFemale
SpecialityClinical Nurse Specialist - Perinatal
Location612 College St, Jacksonville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801964978
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Jackalyn Lee Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801964978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine 76450 (North Carolina)Primary
363L00000XNurse Practitioner 76450 (North Carolina)Primary
363LA2200XNurse Practitioner - Adult Health 76450 (North Carolina)Primary
363LC1500XNurse Practitioner - Community Health 76450 (North Carolina)Primary
363LN0000XNurse Practitioner - Neonatal 76450 (North Carolina)Primary
363LW0102XNurse Practitioner - Women's Health 76450 (North Carolina)Primary
363LX0001XNurse Practitioner - Obstetrics & Gynecology 76450 (North Carolina)Primary
364SP1700XClinical Nurse Specialist - Perinatal 76450 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jackalyn Lee Mitchell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jackalyn Lee Mitchell, RN, OGNP
612 College St,
Jacksonville, NC 28540-5311

Ph: (910) 347-2154		Mrs Jackalyn Lee Mitchell, RN, OGNP
612 College St,
Jacksonville, NC 28540-5311

Ph: (910) 347-2154

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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