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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669947495 | NPPES |
| Florida | MEDICAID | 730396 |
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