Juan Miguel Jimenez

Peer Specialist · Edmond, OK

Individual Active NPI

NPI number 1295341337

Practice location

713 NW 139TH St
Edmond, OK 73013-1912
Phone
(702) 249-1309

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NPI record

NPI
1295341337
Entity type
Individual (Type 1)
Enumeration date
September 22, 2020
Last updated
September 23, 2020
Certified
September 23, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —
Addiction (Substance Use Disorder) Counselor 101YA0400X — —

About Juan Jimenez

Juan Miguel Jimenez is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 713 NW 139TH St, Edmond, OK 73013-1912. The NPI number 1295341337 was assigned on September 22, 2020 and the record was last updated on September 23, 2020.

Frequently asked questions

What is the NPI number of Juan Miguel Jimenez?

The NPI number is 1295341337.

What is the phone number of Juan Jimenez?

The phone number listed for the practice location is (702) 249-1309.

Where is Juan Jimenez located?

713 NW 139TH St, Edmond, OK 73013-1912.

What is the taxonomy code for Juan Jimenez?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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