Individual
MELISSA LEE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
605 N WALNUT ST, NORTH MANCHESTER, IN 46962-1857
(260) 982-1994
Mailing address
4708 W STATE ROAD 114, NORTH MANCHESTER, IN 46962-8680
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008457A
IN
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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