Individual
NICOLE ANGELA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3599
(603) 669-5300
Mailing address
57 PINECREST DR, BEDFORD, NH 03110-5534
(603) 315-2659
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
065187-21
NH
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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