Provider Demographics
NPI:1245581990
Name:MINGS, JUSTINE MARIE LOUISE (DNP, PMHNP-BC, ARNP)
Entity Type:Individual
Prefix:
First Name:JUSTINE
Middle Name:MARIE LOUISE
Last Name:MINGS
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-4120
Mailing Address - Country:US
Mailing Address - Phone:360-696-6321
Mailing Address - Fax:360-737-2120
Practice Address - Street 1:7803 NE FOURTH PLAIN BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-7294
Practice Address - Country:US
Practice Address - Phone:360-566-4432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN 60087668163W00000X
WAAP61347347363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse