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

Staci R Mims

Individual provider Women's Health Nurse Practitioner · NPI 1417874074

Staci R Mims is a Women's Health Nurse Practitioner in Washington, District of Columbia. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

3700 Reservoir Rd NW
Washington, DC 20007-2111
Phone: (202) 687-0100
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence RN959015 (FL)

Record details

NPI number1417874074
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2026
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026

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