Provider Demographics
NPI:1861380990
Name:MITCHELL, GENEVIEVE (CPM-TN)
Entity type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:CPM-TN
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:OLIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 BURT BURGEN RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:TN
Mailing Address - Zip Code:37190-6118
Mailing Address - Country:US
Mailing Address - Phone:615-892-4523
Mailing Address - Fax:
Practice Address - Street 1:350 BURT BURGEN RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:TN
Practice Address - Zip Code:37190-6118
Practice Address - Country:US
Practice Address - Phone:615-892-4523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN162176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife