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

Freddie Laredia Mitchell

Individual provider Prosthetic/Orthotic Supplier · NPI 1972382505

Freddie Laredia Mitchell is a Prosthetic/Orthotic Supplier in Jackson, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

26 Brentshire Sq Ste R
Jackson, TN 38305-2265
Phone: (731) 343-5313
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1972382505
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2023
Last updated in NPPESSeptember 25, 2023
Certification dateSeptember 23, 2023
Mailing address24 May Dr, Jackson, TN 38305-4643

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