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Contact Information

JACQUELINE MINTZ, ARNP-FNP
524 NELSON AVE
SHAW AFB, SC29152
 Phone: 706-495-6612
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACQUELINE MINTZ · (Female)

NPI Number 1124258967
Status Active
Credentials ARNP-FNP
Entity Individual
Enumeration date 07/14/2009
Last updated 12/21/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN213453
  • KS License # 14-60208-122
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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