Provider Demographics
NPI:1427866763
Name:ZIMMERMAN, GEORGIA ANN (RN)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:ANN
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 CUMBERLAND TRL
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-2903
Mailing Address - Country:US
Mailing Address - Phone:701-390-7253
Mailing Address - Fax:
Practice Address - Street 1:367 CUMBERLAND TRL
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-2903
Practice Address - Country:US
Practice Address - Phone:701-390-7253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1055622163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse