SANDRA PATRICIA JIMENEZ


Address: 2080 Child St, Jacksonville, FL 32214-5005
Phone: 9045423473

SANDRA PATRICIA JIMENEZ (NPI# 1659615565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659615565
Entity Type Individual
Full Name SANDRA PATRICIA JIMENEZ
Credential PSY.D.
Practice Address 2080 Child St
Jacksonville
FL 32214-5005
Practice Telephone 9045423473
Practice Fax Number 9045427662
Mailing Telephone 9045423473
Mailing Fax Number 9045427662
Enumeration Date 2012-11-15
Last Update Date 2012-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PY 8671 FL Behavioral Health & Social Service Providers

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Office Location

Street Address 2080 CHILD ST
City JACKSONVILLE
State FL
Zip Code 32214-5005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205836202 Juan Pedro Rivera Psychiatry & Neurology 2080 Child St, Jacksonville, FL 32214-5005 2005-08-01
1477169662 Bobby Joe Neal Kimbro General Practice 2080 Child St, Jacksonville, FL 32214-5005 2020-09-22
1659986529 Henry Lee Simmons Jr. Pharmacist 2080 Child St, Jacksonville, FL 32214-5005 2020-09-09
1982228441 Chantel Charais Nurse Practitioner 2080 Child St, Jacksonville, FL 32214-5005 2020-06-01
1598388936 Joseph Royer Student in an Organized Health Care Education/Training Program 2080 Child St, Jacksonville, FL 32214-5005 2020-05-20
1780206359 Devin Alan Rickard Student in an Organized Health Care Education/Training Program 2080 Child St, Jacksonville, FL 32214-5005 2020-05-17
1881216307 Adam Dillon Ratcliff Student in an Organized Health Care Education/Training Program 2080 Child St, Jacksonville, FL 32214-5005 2020-05-07
1619598588 Sarah Chilson Nurse Practitioner 2080 Child St, Jacksonville, FL 32214-5005 2020-05-02
1942820360 Gregory Hay Student in an Organized Health Care Education/Training Program 2080 Child St, Jacksonville, FL 32214-5005 2020-04-27
1568083996 Aaron Hancock Student in an Organized Health Care Education/Training Program 2080 Child St, Jacksonville, FL 32214-5005 2020-04-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699255653 Natalia Rosa Terreros Nurse Practitioner 2080 Childs Street, Jacksonville, FL 32214 2018-08-20
1841586120 Travis Christopher Allemang Urology 2080 Child St Dept 5000, Jacksonville, FL 32214 2011-06-24
1730169202 Quinn Steven Bastian Psychologist 2080 Child Street, Mental Health Dept - Bldg 2034 / Nh Jax, Jacksonville, FL 32214 2006-01-19
1760753982 Jennifer Marie Brooks Registered Nurse 2080 Child Street, Jacksonville, FL 32214 2012-01-19
1114298338 Louis Humberto Grass IIi Registered Nurse 2080 Child Street, Anesthesia Dept, Jacksonville, FL 32214 2012-01-19
1851685713 John Manning Lydon Obstetrics & Gynecology 2080 Child Street, Jacksonville, FL 32214 2011-06-07
1093865693 Elisha Yvette Hansack Pharmacist 2080 Child Street, Jacksonville, FL 32214 2007-01-12
1073544466 Ren-chang Liu Radiology 2080 Child Street, Jacksonville, FL 32214 2006-07-05
1598795742 Beverly B. Nysewander Nurse Practitioner 2080 Child Street, Internal Medicine, Jacksonville, FL 32214 2006-07-04
1841823606 Christine Due Higgins Midwife Naval Hospital Jacksonville 2089 Child St, Jacksonville, FL 32214-0001 2020-02-19
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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1013408004 Marisa Victoria Byles Psychologist 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223-8648 2018-05-24
1306203245 Robin Jones Psychologist 200 Valencia Dr Ste 194, Jacksonville, NC 28546-6311 2016-01-22
1336510452 Nour Mahmoud Abdelghani Psychologist 524 Skymarks Dr Unit 5, Jacksonville, FL 32218-7254 2015-10-15
1295105823 Mhealthcare Co. Psychologist 3805 Valencia Rd, Jacksonville, FL 32205-9271 2015-09-24
1629406400 Max Aaron Horovitz Psychologist 10475 Centurion Pkwy N Ste 301, Jacksonville, FL 32256-5004 2013-10-14
1457786915 Coral Gaffney Psychologist 6488 103rd St., Ste B, Jacksonville, FL 32210 2013-09-03
1801236542 Jeffrey Allan Rommel Psychologist 11150 Castlemain Cir S, Jacksonville, FL 32256-4825 2013-06-26
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Competitor

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City JACKSONVILLE
Zip Code 32214

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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