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General NPI Number Information
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NPI Number | 1629849757
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Entity Type | Individual
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Provider Name | JESENIA JIMENEZ FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 3626 US HIGHWAY 1
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City | PRINCETON
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State | NJ
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Zip | 08540-5922
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Country | US
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Telephone | 609-945-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 215 BIRCHWOOD AVE APT 306
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City | CRANFORD
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State | NJ
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Zip | 07016-3536
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Country | US
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Telephone | 732-877-0458
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ14887700
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License Number State | NJ
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