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NPI Code Detail

MEDICARE: ALEXANDRIA JIMENEZ

MEDICARE: ALEXANDRIA 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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1801625561
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA JIMENEZ
Provider Business Mailing Address
First Line : BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
Second Line :
City : CLARKSVILLE
State : KY
Zip : 42223
Country : US
Telephone Number : 270-798-8400
Fax Number :
Provider Business Practice Location Address
First Line : BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE
Second Line :
City : FORT CAMPBELL
State : KY
Zip : 42223
Country : US
Telephone Number : 270-798-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2024
Last Update Date : 01/12/2026

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Directions to “ ALEXANDRIA JIMENEZ ” Practice Location

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