Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Mintz, ARNP-FNP

Individual provider Community Health Nurse Practitioner · NPI 1124258967

Jacqueline Mintz, ARNP-FNP is a Nurse Practitioner in Shaw AFB, South Carolina. Qualified in 1997, 29 years ago. Practices with South Carolina Dept of Mental Health Accounting Office, a 231-clinician group and accepts Medicare assignment. Licensed in Georgia and Kansas.

Years since qualifying
29
Licensed in
GA, KS
In the registry since
2009
Specialties on file
2

Practice location Address checks out

524 Nelson Ave
Shaw AFB, SC 29152
Phone: (706) 495-6612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN213453 (GA)
Community Health Nurse Practitioner Taxonomy 363LC1500X · Licence 14-60208-122 (KS)

Record details

NPI number1124258967
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-FNP
Sole proprietorNo
NPI enumeratedJuly 14, 2009
Last updated in NPPESDecember 21, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice South Carolina Dept Of Mental Health Accounting Office — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount