Individual
HEIDI JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906
(401) 793-4102
(401) 793-4049
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4513
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN01789
RI
Other
Enumeration date
04/02/2018
Last updated
05/31/2018
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