Most Relevant Information
Provider Data
| NPI Number: | 1003598269 |
| Provider Name: | ASHLEY NICOLE MITCHELL APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209027967 |
Most Important Dates
| Enumeration Date: | 08/07/2023 |
| Last Updated: | 09/14/2023 |
Provider Practice Location
2601 W MAIN ST
CARBONDALE
IL
629011031
Practice Location Phone/Fax
| Phone: | 6185495361 |
| Fax: | 6183514878 |
Provider Mailing Location
PO BOX 3988
CARBONDALE
IL
629023988
Provider Mailing Phone/Fax
| Phone: | 6184575200 |
| Fax: |