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NPI Code Detail

MEDICARE: MRS. PATRICIA JEAN JIMENEZ

MEDICARE:  MRS. PATRICIA JEAN 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
1363LF0000XFamily Nurse Practitioner1041365DC

General Provider Information

NPI Number : 1417802943
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA JEAN JIMENEZ
Provider Business Mailing Address
First Line : 537 DUNCAN AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1255
Country : US
Telephone Number : 856-669-9899
Fax Number :
Provider Business Practice Location Address
First Line : 537 DUNCAN AVE
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22301-1255
Country : US
Telephone Number : 856-669-9899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ MRS. PATRICIA JEAN JIMENEZ ” Practice Location

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