Jade Marie Nimmo
Community Health Worker in Orange Park, FL. Individual provider (NPI-1).
NPI number1669947495
StatusActive
Last updated in NPPESOct 8, 2018
Details
- NPI
- 1669947495
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jade Marie Nimmo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2018
- Last updated
- Oct 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
494 Clermont Ave SOrange Park, FL 32073-4337
Phone 786-909-9029
Mailing address
494 Clermont Ave SOrange Park, FL 32073-4337
Phone 786-909-9029
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