| Doctor Name: | MRS. PENNY L. MITCHELL |
| NPI Number: | 1003844903 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 87257 |
| Business Practice Address: | 1224 Commerce Street Sw Conover, NC - 28613 |
| Business Phone Number: | 8282610467 |
| Business Fax Number: | 8282617293 |
| Mailing Address: | 1224 Commerce St Sw, CONOVER |
| State: | NC |
| Postal Code: | 286138249 |
| Phone Number: | 8282610467 |
| Fax Number: | 8282670599 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 01/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 87257 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |