CENTER CARE CLINIC PLLC.
NPI 1972391886
Nurse Practitioner - Primary Care in Jacksonville, TX

Q: What is Center Care Clinic PLLC.'s NPI number?

The NPI number for Center Care Clinic PLLC. is 1972391886. It was assigned to this organization in the NPPES registry on April 29, 2025.

Q: What is Center Care Clinic PLLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since April 29, 2025

1738 S JACKSON ST, JACKSONVILLE, TX 75766(903) 787-2219 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Center Care Clinic Pllc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER CARE CLINIC PLLC. (NPI 1972391886) is a healthcare organization registered as a primary care in Jacksonville, Texas and active in the NPI registry since April 2025. The organization lists Chaquarra Lastaysha Mitchell, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1972391886

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameCENTER CARE CLINIC PLLC.

Location Address1738 S JACKSON STJacksonville, TX 75766-5831

Mailing Address1738 S Jackson StJacksonville, TX 75766-5831 · (903) 787-2219

Phone(903) 787-2219

Organization SubpartNo

Authorized OfficialChaquarra Lastaysha MitchellChief Executive Officer · (903) 787-2219

Enumeration DateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1972391886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

1738 S JACKSON ST, Jacksonville, TX 75766

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NECOLE'S LEARNING ACADEMY LLC.

Registered Nurse

1738 S JACKSON ST
JACKSONVILLE, TX 75766

Cherokee County (903) 284-6327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center Care Clinic PLLC.'s NPI number?

The NPI number for Center Care Clinic PLLC. is 1972391886. It was assigned to this organization in the NPPES registry on April 29, 2025.

Where is Center Care Clinic PLLC. located?

Center Care Clinic PLLC. is located at 1738 S Jackson St, Jacksonville, TX 75766. The listed phone number is (903) 787-2219.

What is Center Care Clinic PLLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Center Care Clinic PLLC. was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.