Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carson Wiles Mitchell

Individual provider Family Nurse Practitioner · NPI 1962364984

Carson Wiles Mitchell is a Nurse Practitioner in Winter Haven, Florida. Qualified in 2025, 1 year ago. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1450 6th St SE
Winter Haven, FL 33880-4505
Phone: (863) 293-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11042691 (FL)

Record details

NPI number1962364984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2025
Last updated in NPPESNovember 27, 2025
Certification dateNovember 27, 2025
Mailing address1450 6th St Se, Winter Haven, FL 33880-4505

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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