Individual provider · Type 1 NPI
Kristine Nichole Mims, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Cicero, NY
NPI number
1164092532
Active
Practice location
6129 Cordero Dr
Cicero, NY 13039-7813
Other practice locations
- 200 Gateway Park Dr Bldg B, Syracuse, NY 13212-3760 · (315) 491-7770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403546 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Cicero
About NPI 1164092532
Kristine Nichole Mims, PMHNP-BC's National Provider Identifier is 1164092532, issued on Jun 29, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cicero, NY. The record was last updated on Oct 15, 2026.