Individual
JESSICA PIMENTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
303 FRASER DRIVE, HINESVILLE, GA 31313-3712
(912) 877-2227
Mailing address
35 LAKE SHORE BLVD, PORT WENTWORTH, GA 31407-3612
(912) 547-4699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN211274
GA
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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