Individual provider · Type 1 NPI
Jennifer Idima
Psychiatric/Mental Health Nurse Practitioner · Houston, TX
NPI number
1093410136
Active
Practice location
2800 S Macgregor Way
Houston, TX 77021-1032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1110552 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1093410136
Jennifer Idima's National Provider Identifier is 1093410136, issued on Mar 30, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Houston, TX. The record was last updated on Mar 30, 2023.