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

Penny Mims, CNP

Individual provider Nurse Practitioner · NPI 1104369610

Penny Mims, CNP is a Nurse Practitioner in Ypsilanti, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone: (734) 712-8676
Fax: (734) 712-3855
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704180055 (MI)

Record details

NPI number1104369610
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 1, 2016
Last updated in NPPESDecember 1, 2016

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