Individual
AMANDA MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-C
Contact information
Practice address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(855) 984-5121
Mailing address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(855) 984-5121
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-155145
AL
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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