JENNIFER JEAN MIMISH

NAMPA, ID
NPI1821485012
Former NameJENNIFER JEAN NAVARRO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP1553A)
Additional Taxonomies364SW0102X Clinical Nurse Specialist Women's Health
(Licence: ID  NP1553A)
367A00000X Advanced Practice Midwife
(Licence: ID  CNM84A)
Enumeration Date2015-04-25
Last Update Date2022-08-05
Business Address
JENNIFER JEAN MIMISH CNM, WHNP
1301 S MILLSTREAM DR
NAMPA, ID 83686-4837
Phone number: 208-352-2290
Mailing Address
JENNIFER JEAN MIMISH CNM, WHNP
1301 S MILLSTREAM DR
NAMPA, ID 83686-4837
Phone number: 208-559-6494