Organization
NYU LAGONE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE JIMENEZ DNP, AGACNP-BC (NURSE PRACTITIONER)
(732) 910-2953
Entity
Organization
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(732) 910-2953
Mailing address
34 FLAGSTONE DR, PORT READING, NJ 07064-1210
(732) 910-2953
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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