NPI 1811002785

Courtney Rayne Mitchell, CFNP

Practitioner Specialist Brandon, MS

Practice location

Address: 124 Grandeur Dr, Brandon, MS 39042-5015
Phone: (601) 824-3823

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence R852899 (MS)

Other Specialist providers in Mississippi →

Registry record

NPI: 1811002785
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2006
Record last updated: 1 Mar 2016

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.