Provider Demographics
NPI:1154576361
Name:MITCHELL, JOAN SAPP (RN,MSN,PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:SAPP
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:RN,MSN,PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5228 BRANDYWINE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210
Mailing Address - Country:US
Mailing Address - Phone:478-284-1116
Mailing Address - Fax:478-474-2150
Practice Address - Street 1:940 HIGHWAY 96
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088
Practice Address - Country:US
Practice Address - Phone:478-988-7108
Practice Address - Fax:478-751-4444
Is Sole Proprietor?:No
Enumeration Date:2008-12-02
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN063812163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health