Individual provider · Type 1 NPI

Goddess Mingo, APRN, FNP-BC

Nurse Practitioner · Parma, OH

NPI number 1720488091 Active

Practice location

6001 State Rd
Parma, OH 44134-2869

Mailing address

9462 Ackley Rd
Parma Heights, OH 44130-2327

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X156494 (OH)
Registered Nurse 163W00000X422797 (OH)
Nurse Practitioner Primary 363L00000X0040242 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720488091

Goddess Mingo, APRN, FNP-BC's National Provider Identifier is 1720488091, issued on Aug 24, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Parma, OH. The record was last updated on Jan 12, 2026.