Provider Demographics
NPI:1780569574
Name:MITCHELL, COLUMBIA JENEINE (RN)
Entity type:Individual
Prefix:
First Name:COLUMBIA
Middle Name:JENEINE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 CLUB MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1109
Mailing Address - Country:US
Mailing Address - Phone:214-718-5683
Mailing Address - Fax:
Practice Address - Street 1:2929 CLUB MEADOW DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1109
Practice Address - Country:US
Practice Address - Phone:214-718-5683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-09
Last Update Date:2025-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX675383163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse