Individual
ALICIA MIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7629 S STAPLES ST STE 106A, CORPUS CHRISTI, TX 78413-5388
(361) 238-0015
Mailing address
7629 S STAPLES ST STE 106A, CORPUS CHRISTI, TX 78413-5388
(361) 238-0015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1020397
TX
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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