Individual
MRS. SARAH JANE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C, AOCNP
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00573000
NJ
363L00000X
Nurse Practitioner
ARNP9222232
FL
363L00000X
Nurse Practitioner
Primary
RN285652
GA
Other
Enumeration date
07/03/2015
Last updated
09/11/2019
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