Individual provider · Type 1 NPI
Jacqueline Mintz, ARNP-FNP
Family Nurse Practitioner · Shaw Afb, SC
NPI number
1124258967
Active
Practice location
524 Nelson Ave
Shaw Afb, SC 29152
Mailing address
224 Ashley Place Road
Columbia, SC 29229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 14-60208-122 (KS) |
| Family Nurse Practitioner Primary | 363LF0000X | RN213453 (GA) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Shaw Afb
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- Jaclyn C. Hoffman, DNP, FNPFamily Nurse Practitioner Shaw Afb, SC NPI 1427667765
- Naomi Christine Torrance, ANPFamily Nurse Practitioner Shaw Afb, SC NPI 1497884415
- Kyra Brooks, FNP-CFamily Nurse Practitioner Shaw Afb, SC NPI 1699644526
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- Leah Michelle Bagley, NP-CFamily Nurse Practitioner Shaw Afb, SC NPI 1962030809
About NPI 1124258967
Jacqueline Mintz, ARNP-FNP's National Provider Identifier is 1124258967, issued on Jul 14, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shaw Afb, SC. The record was last updated on Dec 21, 2011.