Most Relevant Information
Provider Data
| NPI Number: | 1003414996 |
| Provider Name: | JANA MITCHELL RNC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WN0002X |
| Specialty: | Registered Nurse |
| License Number: | 668357 |
Most Important Dates
| Enumeration Date: | 10/13/2020 |
| Last Updated: | 10/13/2020 |
Provider Practice Location
1301 PENNSYLVANIA AVE
FORT WORTH
TX
761042122
Practice Location Phone/Fax
| Phone: | 8172503120 |
| Fax: |
Provider Mailing Location
233 N BUGLE DR
FORT WORTH
TX
761084125
Provider Mailing Phone/Fax
| Phone: | 2146836977 |
| Fax: |