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Individual

PAMELA WOODS JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CFNP, CPNP

Contact information

Practice address
1700 SHALLCROSS AVE, SUITE 1, WILMINGTON, DE 19806-2344
(302) 655-4471
(302) 655-2005
Mailing address
1700 SHALLCROSS AVE, SUITE 1, WILMINGTON, DE 19806-2344
(302) 655-4471
(302) 655-2005

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0014282
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0000138
DE

Other

Enumeration date
11/29/2006
Last updated
08/23/2007
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