Individual
AMANDA INDALECIA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-AG
Contact information
Practice address
221 W COLORADO BLVD, DALLAS, TX 75208-2363
(214) 960-5681
Mailing address
3820 LAUREL LN, BEDFORD, TX 76021-2525
(817) 808-2700
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP138418
TX
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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