Individual
KIMBERLY M JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
3225 UNIVERSITY BLVD S, SUITE 104, JACKSONVILLE, FL 32216-2762
(904) 399-1171
(904) 725-1622
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 224-5189
(904) 725-1622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9269242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009587100
—
FL
01
—
P01248790
RAILROAD MEDICARE
FL
Enumeration date
07/27/2011
Last updated
04/18/2016
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