JANE ELIZABETH MITCHUM


Address: 67 Creekside Park Ct, Greenville, SC 29615-4810
Phone: 8645223700

JANE ELIZABETH MITCHUM (NPI# 1164972899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164972899
Entity Type Individual
Full Name JANE ELIZABETH MITCHUM
Credential NP
Practice Address 67 Creekside Park Ct
Greenville
SC 29615-4810
Mailing Address 1 Independence Pt Ste 212
Greenville
SC 29615-4536
Practice Telephone 8645223700
Practice Fax Number 8645223705
Mailing Telephone 8647976328
Enumeration Date 2016-10-05
Last Update Date 2019-05-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
20508 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 67 CREEKSIDE PARK CT
City GREENVILLE
State SC
Zip Code 29615-4810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649267139 Mark Cleveland Pruitt Anesthesiology 67 Creekside Park Ct, Greenville, SC 29615-4810 2005-09-30
1326498411 Christin Moran Hanson Nurse Practitioner 67 Creekside Park Ct, Greenville, SC 29615-4810 2016-06-20
1225418452 James Cranston Gray IIi Anesthesiology 67 Creekside Park Ct, Greenville, SC 29615-4810 2015-06-03
1528465374 Prisma Health University Medical Group Anesthesiology 67 Creekside Park Ct, Greenville, SC 29615-4810 2014-11-21
1265871321 Thomas Joel Brinkley Anesthesiology 67 Creekside Park Ct, Greenville, SC 29615 2013-06-21
1033558838 Margaret M Miller Anesthesiology 67 Creekside Park Ct, Greenville, SC 29615-4810 2013-06-14
1093150229 Michael Chestnut Anesthesiology 67 Creekside Park Ct, Greenville, SC 29615-4810 2013-05-01
1992061550 Megan Werntz Anesthesiology 67 Creekside Park Ct, Greenville, SC 29615-4810 2012-04-09
1447549753 William Edward Mckinney Anesthesiology 67 Creekside Park Ct, Greenville, SC 29615-4810 2011-04-07
1578881140 Melissa Guffey Potisek Anesthesiology 67 Creekside Park Ct, Greenville, SC 29615-4810 2010-05-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194358051 Adenike Orogade Behavior Technician 17 Caldedon Ct, Suite B, Greenville, SC 29615 2020-02-19
1629608369 Jennifer Jacobsen Behavior Technician 17 Caldedon Court, Suite B, Greenville, SC 29615 2020-01-22
1932668217 Carolina Orthopaedic and Neurosurgical Associates Orthopaedic Surgery Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 2019-03-18
1255816070 Trevis L Cureton Pharmacist 2401 East North St, Greenville, SC 29615 2018-09-27
1497232565 Jacob J Fountain Nurse Practitioner 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 2018-07-23
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1558853101 Alexandra Michelle Taylor Audiologist 200 Patewood Dr Ste 400, Greenville, SC 29615 2018-05-30
1316466543 Mariah Hope Mosher Behavioral Analyst 7 Mckenna Commons Court, Greenvilee, SC 29615 2017-09-19
1326400896 Karen L Heaps Counselor 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 2016-03-24
1134589013 Sharon Erk Technician, Other 2950 E.norths St, Greenville, OH 29615 2016-03-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285234237 Vb Medical Group LLC Nurse Practitioner 10047 Whispering Wind Dr, Greenville, IN 47124-9704 2020-10-29
1700403276 Carolyn Lisa Fry Nurse Practitioner 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 2020-07-01
1033744701 Jennifer C Carpenter Nurse Practitioner 2018 County Road 3318, Greenville, TX 75402-5268 2020-03-03
1659904183 Joante Kirk Nurse Practitioner 1699 S Main St, Greenville, MS 38701-7364 2020-02-12
1578103859 Michelle Earley Nurse Practitioner 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 2020-01-14
1871138149 Paola Andrea Mora Tobon Nurse Practitioner 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 2019-11-11
1144863895 Rashemia Latricia Suber Nurse Practitioner 814 Riviera Cir N, Greenville, MS 38701-8029 2019-10-25
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1487116745 Megan Rogers Semanski Nurse Practitioner 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 2019-04-04
1053884247 Renee L Bridges Nurse Practitioner 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 2019-01-10
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Competitor

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City GREENVILLE
Zip Code 29615

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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