Kristine Nichole Mims, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Cicero, NY. Individual provider (NPI-1).
NPI number1164092532
StatusActive
Last updated in NPPESOct 15, 2026
Details
- NPI
- 1164092532
- Entity type
- Individual (NPI-1)
- Name
- Kristine Nichole Mims
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Oct 15, 2026
- Last updated
- Oct 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 403546 | NY | Yes |
Other names
- Kristine Nichole Laflair (Former Name)
Practice location
6129 Cordero DrCicero, NY 13039-7813
Phone 315-276-9936
Mailing address
6129 Cordero DrCicero, NY 13039-7813
Phone 315-538-1364 · Fax 315-291-6412
Other practice locations
200 Gateway Park Dr Bldg B
Syracuse, NY 13212-3760
Syracuse, NY 13212-3760
Phone 315-491-7770
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