Provider Demographics
NPI:1912416009
Name:MITCHELL, JOSEPH ADAM (NP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ADAM
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1515 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:302-645-3499
Mailing Address - Fax:302-644-4830
Practice Address - Street 1:100 SILICATO PKWY STE 201
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-1273
Practice Address - Country:US
Practice Address - Phone:302-393-2056
Practice Address - Fax:302-422-9359
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DELG-0001084363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner