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

Reva Shane Mitchell

Individual provider Licensed Practical Nurse · NPI 1063103752

Reva Shane Mitchell is a Licensed Practical Nurse in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

2810 Fern Ave
Columbus, OH 43211-1730
Phone: (614) 999-5152
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 180908 (OH)

Record details

NPI number1063103752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing address2810 Fern Ave, Columbus, OH 43211-1730

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