Nimmo, Jade Marie

Nimmo, Jade Marie is an individual health care provider with primary practice located at 494 Clermont Ave S , Orange Park FL 32073-4337. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Nimmo, Jade Marie can be contacted via phone (786) 909-9029.

Contact Information

Primary practice address
494 Clermont Ave S Orange Park FL 32073-4337
Phone: (786) 909-9029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1669947495
LBN Legal business name Nimmo, Jade Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2018
Last updated Oct 8th, 2018 - about 8 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 1669947495 NPPES
Florida MEDICAID 730396

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