Individual
MISS NICOLE MARIE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-BC, OCN
Contact information
Practice address
300 E 66TH ST, NEW YORK, NY 10065-6800
(908) 433-5856
Mailing address
300 E 66TH ST, NEW YORK, NY 10065-6800
(646) 888-5209
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F3078421
NY
Other
Enumeration date
11/03/2016
Last updated
02/18/2018
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