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

Jaime Mitchell

Individual provider Licensed Practical Nurse · NPI 1114502077

Jaime Mitchell is a Licensed Practical Nurse in Montgomery, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

796 Bullville Rd
Montgomery, NY 12549-1827
Phone: (405) 650-7443
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 292119 (NY)

Record details

NPI number1114502077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2021
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing address796 Bullville Rd, Montgomery, NY 12549-1827

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