JESSICA CAROLINE MIMBS RN MSN FNP-C NPI 1932654563

NPI Information

  • NPI: 1932654563
  • Provider Name: JESSICA CAROLINE MIMBS, RN, MSN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6120 HICKORY FLAT HWY
    CANTON, GA
    ZIP 30115
  • Phone: (866) 389-2727

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NPI Details

Jessica Caroline Mimbs, RN, MSN, FNP-C is a family nurse practitioner in Canton, GA. Jessica Caroline Mimbs, RN, MSN, FNP-C NPI is 1932654563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6120 HICKORY FLAT HWY
CANTON, GA
ZIP 30115
Phone: (866) 389-2727
Fax: (401) 652-9787

The NPI 1932654563 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2016 and was last updated on 2/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerRN239259GEORGIANo
2363LA2200XNurse PractitionerAdult HealthRN239259GEORGIANo
3363LF0000XNurse PractitionerFamilyRN239259GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RN239259OTHERGEORGIAGA NP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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