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Individual

JACQUELINE JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2855 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7306
(610) 807-4200
Mailing address
4712 YORKSHIRE DR, MACUNGIE, PA 18062-8256

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22675489
NY
363LF0000X
Family Nurse Practitioner
342587
NY
363LF0000X
Family Nurse Practitioner
Primary
SP021717
PA

Other

Enumeration date
02/02/2018
Last updated
04/24/2025
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