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

MS. Priscilla Jimenez, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710575303

MS. Priscilla Jimenez, PMHNP-BC is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

710 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2379
Phone: (586) 944-5827
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704230272NSA200YP (MI)

Record details

NPI number1710575303
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedJanuary 8, 2021
Last updated in NPPESJanuary 23, 2022
Certification dateJanuary 23, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Grand Rapids