Provider Demographics
NPI:1699097683
Name:MITCHELL, FRANCESA V
Entity type:Individual
Prefix:MS
First Name:FRANCESA
Middle Name:V
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:FRANCESA
Other - Middle Name:V
Other - Last Name:WILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12005 E 470 RD
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3737
Mailing Address - Country:US
Mailing Address - Phone:918-342-0770
Mailing Address - Fax:918-342-0087
Practice Address - Street 1:12005 E 470 RD
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3737
Practice Address - Country:US
Practice Address - Phone:918-342-0770
Practice Address - Fax:918-342-0087
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251B00000X
OK261QM0801X171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator