Individual
BRIANNA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
69 W COOKINGHAM DR, STAATSBURG, NY 12580-5649
(845) 407-1341
(845) 407-1341
Mailing address
69 W COOKINGHAM DR, STAATSBURG, NY 12580-5649
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
353142-01
NY
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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