Individual
MARY-ANNE JONES MIMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
16623 BIRKDALE COMMONS PKWY STE 110, HUNTERSVILLE, NC 28078-5622
(047) 820-4197
(980) 689-2872
Mailing address
114 AARON PL NW, CONCORD, NC 28027-4182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009852
NC
363LF0000X
Family Nurse Practitioner
5009852
NC
Other
Enumeration date
10/02/2017
Last updated
11/15/2018
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