DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER JEAN MIMISH, CNM, WHNP

Active Sole Proprietor

Nurse Practitioner · NAMPA, ID

Registration Details

NPI Number
1821485012
Provider Type
Individual
Gender
Female
NPI Issued
Apr 25, 2015 (10.993726669244 yrs)
Last Updated
Aug 5, 2022
Licenses
NP1553A (ID)
CNM84A (ID)
NP1553A (ID)
Sole Proprietor
Yes

Practice Information

Address
1301 S MILLSTREAM DR
NAMPA, ID, 836864837
Browse ID providers · Browse ZIP 83686
Phone
2083522290
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Advanced Practice Midwife
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in NAMPA, ID

Name Credential NPI
MS. JACQUELINE J. MCCOY F.N.P., M.S.N. 1215926282
PAUL H CHRISTENSEN NP 1780674770
MRS. CAROLYN G BARNHART FNPC 1033190582
MS. HOLLY DAWN SWENSEN NP 1386672012
MRS. ANDREA L SCHOOLER-SMITH FNP 1629161625
JARED T RYE NP 1457596413
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.