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NPI Code Detail

MEDICARE: COLEEN M. JIMENEZ F.N.P.

MEDICARE: COLEEN M. JIMENEZ F.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse547529NY
2363LF0000XFamily Nurse PractitionerF335004NY

General Provider Information

NPI Number : 1336277417
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLEEN M. JIMENEZ F.N.P.
Provider Business Mailing Address
First Line : 1033 BRYANT AVE
Second Line :
City : BRONX
State : NY
Zip : 10459-3814
Country : US
Telephone Number : 718-617-2201
Fax Number :
Provider Business Practice Location Address
First Line : 1543 INWOOD AVE
Second Line :
City : BRONX
State : NY
Zip : 10452-2001
Country : US
Telephone Number : 718-299-5500
Fax Number : 718-299-7679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 09/11/2025

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