Individual
GRACIELA JIMENEZ-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1217 W PLYMOUTH ST, BREMEN, IN 46506-1930
(574) 546-0654
(888) 815-1434
Mailing address
316 N MONTGOMERY ST, BREMEN, IN 46506-1156
(574) 209-1130
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28192998A
IN
363LF0000X
Family Nurse Practitioner
Primary
71008159A
IN
Other
Enumeration date
07/25/2018
Last updated
11/19/2022
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