STACEY JIMENEZ
NPI 1881407864
Peer Specialist in Oklahoma City, OK
Active since January 31, 2025
About Stacey Jimenez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY JIMENEZ (NPI 1881407864) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since January 2025.
NPPES Registry Identity
NPI1881407864
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSTACEY JIMENEZ
Location Address6504 ROCK CREEK CIROklahoma City, OK 73132-2004
Mailing Address6504 Rock Creek CirOklahoma City, OK 73132-2004 · (405) 503-7606
Phone(405) 503-7606
Sole ProprietorNo
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1881407864 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
6504 ROCK CREEK CIR, Oklahoma City, OK 73132
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881407864, enumerated as an "individual" on January 31, 2025.
The provider is located at 6504 ROCK CREEK CIR OKLAHOMA CITY, OK 73132 and the phone number is (405) 503-7606.
Peer Specialist with taxonomy code 175T00000X.
