Individual
DR. JOSHUA DALE MORAN JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, PMHNP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29235
SC
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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