Mintz, Jacqueline

Mintz, Jacqueline is an individual health care provider with primary practice located at 524 Nelson Ave , Shaw Afb SC 29152. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mintz, Jacqueline can be contacted via phone (706) 495-6612.

Contact Information

Primary practice address
524 Nelson Ave Shaw Afb SC 29152
Phone: (706) 495-6612
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 14-60208-122 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN213453 Georgia

Profile Details

NPI number 1124258967
LBN Legal business name Mintz, Jacqueline
Credentials ARNP-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2009
Last updated Dec 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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