| Doctor Name: | MRS. JERILYN J. MITCHELL |
| NPI Number: | 1033205638 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS, LP (PMHCNS-BC, |
| License Number: | R054697-5 |
| Business Practice Address: | 712 South Cascade Street Fergus Falls, MN - 565372813 |
| Business Phone Number: | 2187368000 |
| Business Fax Number: | 2187368757 |
| Mailing Address: | 712 South Cascade Street, FERGUS FALLS |
| State: | MN |
| Postal Code: | 565372813 |
| Phone Number: | 2187368000 |
| Fax Number: | 2187368757 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 07/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364S00000X |
| License Number: | R054697-5 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |