Individual
MRS. NEIDA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
53 HOMER PL, METUCHEN, NJ 08840-2006
(848) 200-7960
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN06908100
NJ
Other
Enumeration date
07/31/2006
Last updated
05/07/2018
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