Provider Demographics
NPI:1346514403
Name:MITCHELL, KARRI JO (APN)
Entity Type:Individual
Prefix:MS
First Name:KARRI
Middle Name:JO
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 ALLEN WATKINS LN
Mailing Address - Street 2:
Mailing Address - City:DE WITT
Mailing Address - State:AR
Mailing Address - Zip Code:72042-9506
Mailing Address - Country:US
Mailing Address - Phone:870-946-2668
Mailing Address - Fax:
Practice Address - Street 1:1012B E 22ND ST
Practice Address - Street 2:
Practice Address - City:STUTTGART
Practice Address - State:AR
Practice Address - Zip Code:72160-6825
Practice Address - Country:US
Practice Address - Phone:870-672-0911
Practice Address - Fax:870-672-0914
Is Sole Proprietor?:No
Enumeration Date:2012-03-06
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03642363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily