Provider Demographics
NPI:1346830114
Name:NIMENE, JUAH (APRN)
Entity type:Individual
Prefix:
First Name:JUAH
Middle Name:
Last Name:NIMENE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 940604
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-7604
Mailing Address - Country:US
Mailing Address - Phone:281-815-3153
Mailing Address - Fax:
Practice Address - Street 1:15015 WESTHEIMER PKWY STE 1-2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1676
Practice Address - Country:US
Practice Address - Phone:347-378-7974
Practice Address - Fax:888-375-3511
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1020139363LP0808X
CO0100130363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health