Individual
MS. REBECCA S JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
1215 PLEASANT STREET, SUITE 400, DES MOINES, IA 50309-1418
(515) 241-5722
(515) 241-4403
Mailing address
1215 PLEASANT STREET, SUITE 400, DES MOINES, IA 50309-1418
(515) 241-5722
(515) 241-4403
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
123902
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
D064621
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139097
—
IA
01
—
421008717
JOHN DEERE
IA
01
—
430028515
RAILROAD MEDICARE
IA
01
—
54421
BCBS
IA
01
—
D064621
TRICARE
IA
Enumeration date
03/17/2006
Last updated
02/21/2020
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