Healthcare Provider Details

I. General information

NPI: 1235065236
Provider Name (Legal Business Name): JAMIE TERESA ZINGLEMAN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2902 WILEY DR # 29582
NORTH MYRTLE BEACH SC
29582-4532
US

IV. Provider business mailing address

2902 WILEY DR # 29582
NORTH MYRTLE BEACH SC
29582-4532
US

V. Phone/Fax

Practice location:
  • Phone: 404-561-1782
  • Fax:
Mailing address:
  • Phone: 404-561-1782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number31958
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: