Individual
JEANETTE CAROL JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(732) 910-2953
Mailing address
34 FLAGSTONE DR, PORT READING, NJ 07064-1210
(732) 910-2953
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
432527
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01376100
NJ
Other
Enumeration date
01/06/2023
Last updated
11/24/2025
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