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Contact Information

JENNIFER J MIMISH, CNM, WHNP
1301 S MILLSTREAM DR
NAMPA, ID83686-4837
 Phone: 208-352-2290
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Women's Health

364SW0102X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for JENNIFER J MIMISH · (Female)

NPI Number 1821485012
Status Active
Credentials CNM, WHNP
Entity Individual
Enumeration date 04/25/2015
Last updated 08/05/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # CNM84A
  • ID License # NP1553A
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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