Organization
WIMS EXECUTIVE HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAMARA WIMS NP (NURSE PRACTITIONER)
(904) 750-6162
Entity
Organization
Contact information
Practice address
8309 SOUTHSIDE BLVD, JACKSONVILLE, FL 32256-8403
(123) 456-7891
Mailing address
8309 SOUTHSIDE BLVD, JACKSONVILLE, FL 32256-8403
(904) 750-6162
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
02/27/2025
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