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NPI Code Detail

MEDICARE: ISABELLA JIMENEZ

MEDICARE: ISABELLA JIMENEZ
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 Nurse272406SC

General Provider Information

NPI Number : 1003770827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA JIMENEZ
Provider Business Mailing Address
First Line : 820 ESTHER CT
Second Line :
City : CONWAY
State : SC
Zip : 29526-8115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 SINGLETON RIDGE RD
Second Line :
City : CONWAY
State : SC
Zip : 29526-9142
Country : US
Telephone Number : 843-347-7111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ ISABELLA JIMENEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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