Individual
MRS. NICOLE MARIE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
380 CELEBRATION PL FL 2, CELEBRATION, FL 34747-4606
(407) 303-4220
(407) 303-4676
Mailing address
380 CELEBRATION PL FL 2, CELEBRATION, FL 34747-4606
(407) 303-4220
(407) 303-4676
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APRN9369385
FL
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN9369385
FL
Other
Enumeration date
03/22/2018
Last updated
10/28/2020
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