Provider Demographics
NPI:1326852096
Name:NIMAKO-MENSAH, JEMIMAH (ARNP)
Entity type:Individual
Prefix:
First Name:JEMIMAH
Middle Name:
Last Name:NIMAKO-MENSAH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21509 STATE ROUTE 410 E STE 1A
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-4104
Mailing Address - Country:US
Mailing Address - Phone:253-891-2160
Mailing Address - Fax:
Practice Address - Street 1:21509 STATE ROUTE 410 E STE 1A
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-4104
Practice Address - Country:US
Practice Address - Phone:253-891-2160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61344287363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner