Individual
JAIMA YOJANA GONZALEZ JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP IN ADULT HEALTH
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312459
NY
363LG0600X
Gerontology Nurse Practitioner
312459
NY
Other
Enumeration date
08/27/2025
Last updated
09/19/2025
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