Individual
STEPHANY C JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 WOODSIDE CT UNIT 1204, TRUMBULL, CT 06611-4885
(860) 304-8197
Mailing address
100 WOODSIDE CT UNIT 1204, TRUMBULL, CT 06611-4885
(860) 304-8197
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
13782
CT
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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