Individual
TAMMY LOUISE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44382 CATIES WAY, CALLAHAN, FL 32011-7204
(904) 608-0588
Mailing address
44382 CATIES WAY, CALLAHAN, FL 32011-7204
(904) 608-0588
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN3360642
FL
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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