Individual provider · Type 1 NPI
Amanda Indalecia Jimenez, ACNP-AG
Acute Care Nurse Practitioner · Dallas, TX
NPI number
1316426588
Active
Practice location
221 W Colorado Blvd
Dallas, TX 75208-2363
Mailing address
3820 Laurel Ln
Bedford, TX 76021-2525
Other practice locations
- 3820 Laurel Ln, Bedford, TX 76021-2525 · (817) 808-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP138418 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1316426588
Amanda Indalecia Jimenez, ACNP-AG's National Provider Identifier is 1316426588, issued on Aug 8, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dallas, TX. The record was last updated on Aug 8, 2018.