Individual
KYLIE ANN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
333 MOUNT HOPE AVE, ROCKAWAY, NJ 07866-1654
(973) 971-7507
Mailing address
PO BOX 416457, BOSTON, MA 02241-5604
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01309000
NJ
Other
Enumeration date
05/11/2022
Last updated
07/29/2022
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