Individual provider · Type 1 NPI
Jai Mimmack
Student in an Organized Health Care Education/Training Program · Mitchell, SD
NPI number
1104755883
Active
Practice location
1809 N Wisconsin St
Mitchell, SD 57301-1067
Fax (605) 990-3733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2 other providers at this address
Other student in an organized health care education/training program providers in Mitchell
- Pierce Jeffrey Smith, DDSStudent in an Organized Health Care Education/Training Program Mitchell, SD NPI 1255072690
- Travis McDonaldStudent in an Organized Health Care Education/Training Program Mitchell, SD NPI 1275905416
- Benny MedranoStudent in an Organized Health Care Education/Training Program Mitchell, SD NPI 1417896390
- Alyson J. VanderpolStudent in an Organized Health Care Education/Training Program Mitchell, SD NPI 1427646702
- Cassidy Lee Musick, DOStudent in an Organized Health Care Education/Training Program Mitchell, SD NPI 1487455309
About NPI 1104755883
Jai Mimmack's National Provider Identifier is 1104755883, issued on May 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mitchell, SD. The record was last updated on May 18, 2026.