Provider Demographics
NPI:1255757019
Name:MITCHELL, CELIA PRICE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:CELIA
Middle Name:PRICE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:CELIA
Other - Middle Name:LYNNE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1025 DIVISION ST
Mailing Address - Street 2:STE. B
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-2906
Mailing Address - Country:US
Mailing Address - Phone:228-388-2599
Mailing Address - Fax:228-388-4157
Practice Address - Street 1:1025 DIVISION ST
Practice Address - Street 2:STE. B
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39530-2906
Practice Address - Country:US
Practice Address - Phone:228-388-2599
Practice Address - Fax:228-388-4157
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR562416363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily