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NPI Code Detail

MEDICARE: MRS. CHRISTINA MCPHERSON-JIMENEZ PMHNP - BC

MEDICARE:  MRS. CHRISTINA  MCPHERSON-JIMENEZ  PMHNP - BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerARNP 9246176FL

General Provider Information

NPI Number : 1982053559
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MCPHERSON-JIMENEZ PMHNP - BC
Provider Business Mailing Address
First Line : 5410 EAST AVE
Second Line : SUITE 101
City : WEST PALM BEACH
State : FL
Zip : 33407-2344
Country : US
Telephone Number : 561-894-4265
Fax Number : 561-455-0266
Provider Business Practice Location Address
First Line : 5410 EAST AVE
Second Line : SUITE 101
City : WEST PALM BEACH
State : FL
Zip : 33407-2344
Country : US
Telephone Number : 561-894-4265
Fax Number : 561-455-0266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2016
Last Update Date : 06/06/2016

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