Mincey, Sandra Ella Humphrey

Mincey, Sandra Ella Humphrey is an sole proprietor health care provider with primary practice located at Mcneeley Family Physicians 110 Executive Park Drive, Clinton TN 37716. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Diabetes Educator. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mincey, Sandra Ella Humphrey can be contacted via phone (865) 494-9241.

Contact Information

Primary practice address
Mcneeley Family Physicians 110 Executive Park Drive Clinton TN 37716
Fax: (865) 494-0895
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19964 Tennessee
Nursing Service Providers / Diabetes Educator 163WD0400X 20210308 Tennessee

Profile Details

NPI number 1326428087
LBN Legal business name Mincey, Sandra Ella Humphrey
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2015
Last updated Jun 24th, 2020 - about 5 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 1326428087 NPPES
Tennessee MEDICAID Q015005

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