Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Rebekah Jimenez

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1912684028

Mary Rebekah Jimenez is a Nurse Practitioner in Johnson City, Tennessee. Qualified in 2024, 2 years ago. Practices with Medical Education Assistance Corporation, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

403 N State Of Franklin Rd
Johnson City, TN 37604-6034
Phone: (423) 388-9961
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Professional Park Dr Ste 21, Johnson City, TN 37604-6584 — (423) 379-8120

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 36821 (TN)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 246367 (TN)

Record details

NPI number1912684028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 29, 2023
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Medical Education Assistance Corporation — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City