Individual
CARLOS E JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
348 N NELLIS BLVD STE F, LAS VEGAS, NV 89110-5313
(702) 508-6460
Mailing address
111 STERLING CT, HENDERSON, NV 89015-1739
(252) 274-5197
(725) 215-9309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11004595
FL
363LF0000X
Family Nurse Practitioner
13033248-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
826867
NV
363LF0000X
Family Nurse Practitioner
95028935
CA
363LP2300X
Primary Care Nurse Practitioner
13033248-4405
UT
Other
Enumeration date
10/17/2019
Last updated
06/06/2024
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