Individual provider · NPI-1
Damisela Amador Jimenez, ARNP
Nurse Practitioner, Family · Plantation, FL
NPI number1124527734
StatusActive
Last updated in NPPESSep 11, 2026
Details
- NPI
- 1124527734
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Damisela Amador Jimenez
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2018
- Certification date
- Sep 11, 2026
- Last updated
- Sep 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP9393735 | FL | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | aprn9393735 | FL | |
| 207Q00000X | Family Medicine | ARNP9393735 | FL |
Practice location
180 Sw 84th Ave Ste BPlantation, FL 33324-2731
Phone 954-945-3510
Mailing address
10550 Nw 77th CtSte 308
Hialeah Gardens, FL 33016-2072
Phone 305-300-0791 · Fax 954-607-5728
Other practice locations
8300 W Flagler St Ste 210
Miami, FL 33144-6002
Miami, FL 33144-6002
Phone 305-553-0270 · Fax 305-553-0670
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