Individual
MRS. JENNIFER JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260
(317) 338-3634
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71008243A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71008243A
IN
Other
Enumeration date
07/09/2018
Last updated
09/22/2025
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