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Individual
DR. JOHNNY JIMENEZ
Active
Individual
DR. JOHNNY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-C, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95039845
CA
363LF0000X
Family Nurse Practitioner
95011333
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95011333
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011333
CA
363LP2300X
Primary Care Nurse Practitioner
95011333
CA
Other
Enumeration date
03/23/2019
Last updated
04/16/2026
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