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

Chaquarra Lastaysha Mitchell

Individual provider Family Nurse Practitioner · NPI 1932923265

Chaquarra Lastaysha Mitchell is a Family Nurse Practitioner in Jacksonville, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

510 E Commerce St
Jacksonville, TX 75766-4910
Phone: (903) 535-9041
Fax: (903) 586-0001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1179676 (TX)

Record details

NPI number1932923265
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address523 S Fannin Ave, Tyler, TX 75702-8204

Other providers in Jacksonville