Individual
JENNIFER SUE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, PMHNP
Contact information
Practice address
5247 W 1000 S, UNION MILLS, IN 46382-9514
(219) 393-8894
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28147457A
IN
363L00000X
Nurse Practitioner
71004408A
IN
363LF0000X
Family Nurse Practitioner
71004408A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71004408A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201189950
—
IN
Enumeration date
12/21/2012
Last updated
04/08/2026
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