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Individual

ANNALEE MIMS JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
301 40TH ST, LUBBOCK, TX 79404-2746
(806) 743-9355
(806) 743-9363
Mailing address
301 40TH ST, LUBBOCK, TX 79404-2746
(806) 743-9355
(806) 743-9363

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
748205
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
748205
LICENSE
TX
Enumeration date
12/02/2010
Last updated
08/04/2025
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