NPI 1104536937

Jaycee C Mitchell, CNA

Practitioner Nurse's Aide Pleasant Grove, UT

Practice location

Address: 867 S 800 W, Pleasant Grove, UT 84062-4505
Phone: (801) 785-9019

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence UT011304201619 (UT)

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Registry record

NPI: 1104536937
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Dec 2022
Record last updated: 2 Dec 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.