Individual provider · Type 1 NPI
Jasmine Kinata Minnis, APRN, ACNPC- AG
General Practice Registered Nurse · Walls, MS
NPI number
1265100093
Active
Practice location
9141 Mallard Park Blvd
Walls, MS 38680-8003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 904928 (MS) |
| Acute Care Nurse Practitioner | 363LA2100X | 29597 (TN) |
| General Practice Registered Nurse Primary | 163WG0000X | 899062 (MS) |
General Practice Registered Nurse: Definition to come...
About NPI 1265100093
Jasmine Kinata Minnis, APRN, ACNPC- AG's National Provider Identifier is 1265100093, issued on Sep 7, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Walls, MS. The record was last updated on May 18, 2026.