COURTNEY RAYNE MITCHELL CFNP NPI 1811002785

NPI Information

  • NPI: 1811002785
  • Provider Name: COURTNEY RAYNE MITCHELL, CFNP
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 124 GRANDEUR DR
    BRANDON, MS
    ZIP 39042
  • Phone: (601) 824-3823

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NPI Details

Courtney Rayne Mitchell, CFNP is a specialist in Brandon, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Courtney Rayne Mitchell, CFNP NPI is 1811002785. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

124 GRANDEUR DR
BRANDON, MS
ZIP 39042-015
Phone: (601) 824-3823

The NPI 1811002785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 3/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistR852899MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150002224MEDICARE PINMISSISSIPPI
2Q72663MEDICARE UPINMISSISSIPPI
3R852899OTHERMISSISSIPPICFNP CERTIFICATE NUMBER
408484019MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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