Individual provider · Type 1 NPI
Sommer Mims, CPNP
Primary Care Nurse Practitioner · Fort Worth, TX
NPI number
1184190100
Active
Practice location
1500 Cooper St
Fort Worth, TX 76104-2710
Fax (682) 885-4004
Mailing address
PO Box 733784
Dallas, TX 75373-3784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP139283 (TX) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1184190100
Sommer Mims, CPNP's National Provider Identifier is 1184190100, issued on Oct 17, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 6, 2021.