IndividualActive
Heidi Jimenez
NPI 1356847172 · Acute Care Nurse Practitioner · Providence, RI
Provider details
- NPI number
- 1356847172
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- APRN01789 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
164 Summit Ave
Providence, RI 02906
Phone: (401) 793-4102
Fax: (401) 793-4049
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
Registry dates
- Enumerated
- 2018-04-02
- Last updated
- 2018-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.