Shannon Nicole Mitchell, FNP-BC | |
295 Park Dr, Campbell, OH 44405-1259 | |
(330) 951-5058 | |
Not Available |
Full Name | Shannon Nicole Mitchell |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 295 Park Dr, Campbell, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821581273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2021182704 (Ohio) | Primary |
Entity Name | Quick Med Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528528726 PECOS PAC ID: 5799016358 Enrollment ID: O20191011001731 |
Entity Name | Venvisor Health Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841827938 PECOS PAC ID: 1456780824 Enrollment ID: O20200406002340 |
Mailing Address | Practice Location Address |
---|---|
Shannon Nicole Mitchell, FNP-BC 295 Park Dr, Campbell, OH 44405-1259 Ph: (330) 951-5058 | Shannon Nicole Mitchell, FNP-BC 295 Park Dr, Campbell, OH 44405-1259 Ph: (330) 951-5058 |
Wanda Lee Cassavettes, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 126 Pin Oak Pl, Campbell, OH 44405 Phone: 330-518-3174 | |
Mr. Jeremiah M Noggle, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 Struthers Liberty Rd, Campbell, OH 44405 Phone: 330-750-1333 Fax: 330-750-0203 |