Individual
LISA ANN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, MSN, APRN
Contact information
Practice address
2275 COMMERCIAL ST, ASTORIA, OR 97103-3327
(503) 325-8315
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-7057
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10044599
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
320424
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61676052
WA
Other
Enumeration date
07/05/2025
Last updated
03/10/2026
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