Individual
JEFFENY JIMENEZ RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4961 BUFORD HWY STE 201, CHAMBLEE, GA 30341-3536
(470) 509-4648
Mailing address
249 OAKMOOR CT, LAWRENCEVILLE, GA 30043-2364
(678) 907-5237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN262513
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN262513
GA
Other
Enumeration date
04/01/2021
Last updated
03/22/2023
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