Provider Demographics
NPI:1942534896
Name:AHMED, NENA JIMENA (RN)
Entity Type:Individual
Prefix:MRS
First Name:NENA
Middle Name:JIMENA
Last Name:AHMED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2391 OLD POST RD
Mailing Address - Street 2:33030
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-4989
Mailing Address - Country:US
Mailing Address - Phone:574-329-0950
Mailing Address - Fax:269-683-3898
Practice Address - Street 1:2391 OLD POST RD
Practice Address - Street 2:33030
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-4989
Practice Address - Country:US
Practice Address - Phone:574-329-0950
Practice Address - Fax:269-683-3898
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28151945A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN28151945AOtherRN LICENSE