National Provider Identifier Database

JENNIFER J MIMISH, CNM, WHNP – NPI #1821485012
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

JENNIFER J MIMISH, CNM, WHNP
1301 S MILLSTREAM DR
NAMPA, ID83686-4837
Phone: 208-352-2290
Fax:
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Advanced Practice Midwife 367A00000X
Women's Health 364SW0102X

* Indicates primary specialty

NPI Profile & details for JENNIFER J MIMISH

NPI Number 1821485012
Credentials CNM, WHNP
Entity Individual
Enumeration date 04/25/2015
Last updated 08/05/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • ID License #: CNM84A
  • ID License #: NP1553A
Hospital affiliation n/a

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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