MEDICARE: DR. NANCY JIMENEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	4351056782	MI

General Provider Information

NPI Number	:	1538747936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY JIMENEZ MD

Provider Business Mailing Address
First Line	:	11012 E 13 MILE RD STE 112
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48093-2546
Country	:	US
Telephone Number	:	586-578-9595
Fax Number	:	586-573-2562

Provider Business Practice Location Address
First Line	:	11012 E 13 MILE RD STE 112
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48093-2546
Country	:	US
Telephone Number	:	586-578-9595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2021
Last Update Date	:	06/16/2026

Similar Medicare Providers

1619969540 — SOUTHFIELD REHABILITATION COMPANY
Practice Location Address:

11012 THIRTEEN MILE ROAD , SUITE 112A
WARREN, MI
48093-2546

Practice Phone: 586-751-9800
Practice Fax: 586-751-9818

1184828451 — MICHIGAN SURGERY SPECIALISTS, P.C.
Practice Location Address:

11012 E 13 MILE RD STE 112
WARREN, MI
48093-2546

Practice Phone: 586-751-3380
Practice Fax: 586-751-0950

1477722585 — SOUTHFIELD REHABILITATION COMPANY
Practice Location Address:

11012 THIRTEEN MILE ROAD , SUITE 111
WARREN, MI
48093-2546

Practice Phone: 586-558-8470
Practice Fax: 586-558-8481

1912345737 — DR. EMILY EUBANKS ABBOTT D.O., M.S.
Practice Location Address:

11012 E 13 MILE RD STE 112
WARREN, MI
48093-2546

Practice Phone: 586-751-3380
Practice Fax:

1164840930 — JASON ZATKOFF DO
Practice Location Address:

11012 E 13 MILE RD STE 112A
WARREN, MI
48093-2546

Practice Phone: 586-751-9800
Practice Fax:

1356755433 — PETER LASATER M.D.
Practice Location Address:

11012 E 13 MILE RD STE 112
WARREN, MI
48093-2546

Practice Phone: 586-573-6880
Practice Fax:

Directions to “ DR. NANCY JIMENEZ MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.