# MS. SUSAN R. JIMENEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871744748
- **Gender:** F
- **Credential:** NP, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 15363 | CA | — |
| 363A00000X | Physician Assistant | PA1868 | NV | Yes |
| 363LF0000X | Family Nurse Practitioner | 11392 | CA | — |

## Other

- **Enumeration date:** 10/09/2008
- **Last updated:** 03/03/2025