Individual provider · Type 1 NPI

Mary Rebekah Jimenez

Psychiatric/Mental Health Nurse Practitioner · Johnson City, TN

NPI number 1912684028 Active

Practice location

403 N State Of Franklin Rd
Johnson City, TN 37604-6034

Mailing address

PO Box 699
Mountain Home, TN 37684-0699

Other practice locations

  • 2 Professional Park Dr Ste 21, Johnson City, TN 37604-6584 · (423) 379-8120

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X246367 (TN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X36821 (TN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1912684028

Mary Rebekah Jimenez's National Provider Identifier is 1912684028, issued on Jun 29, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Johnson City, TN. The record was last updated on Apr 28, 2026.