Mimbs, Jessica Caroline

Mimbs, Jessica Caroline is an individual health care provider with primary practice located at 6120 Hickory Flat Hwy , Canton GA 30115. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mimbs, Jessica Caroline can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
6120 Hickory Flat Hwy Canton GA 30115
Phone: (866) 389-2727
Fax: (401) 652-9787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN239259 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN239259 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN239259 Georgia

Profile Details

NPI number 1932654563
LBN Legal business name Mimbs, Jessica Caroline
Credentials RN, MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2016
Last updated Feb 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932654563 NPPES
Georgia Other RN239259 GA NP LICENSE

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