MUMTAZ JIWANI


Address: 324 Siddington Way, Lexington, SC 29073-9722
Phone: 4046100530

MUMTAZ JIWANI (NPI# 1063983229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063983229
Entity Type Individual
Full Name MUMTAZ JIWANI
Credential APRN, FNP-C
Practice Address 324 Siddington Way
Lexington
SC 29073-9722
Practice Telephone 4046100530
Mailing Telephone 4046100530
Enumeration Date 2018-12-16
Last Update Date 2018-12-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 212249 SC Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
22423 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 324 SIDDINGTON WAY
City LEXINGTON
State SC
Zip Code 29073-9722

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1376893875 Mary Glenn Pharmacist 1071 S. Lake Dr., Lexington, SC 29073 2012-09-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City LEXINGTON
Zip Code 29073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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