MEDICARE: ZAYRA JIMENEZ GARCIA APRN, CNP

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
1	363LA2100X	Acute Care Nurse Practitioner	88986	NM
2	363LG0600X	Gerontology Nurse Practitioner	1090223	TX
3	363LA2100X	Acute Care Nurse Practitioner	1090223	TX

General Provider Information

NPI Number	:	1831817139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAYRA JIMENEZ GARCIA APRN, CNP

Provider Business Mailing Address
First Line	:	2153 ROBERT DRENNAN PL
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-3102
Country	:	US
Telephone Number	:	915-383-6013
Fax Number	:

Provider Business Practice Location Address
First Line	:	2153 ROBERT DRENNAN PL
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79938-3102
Country	:	US
Telephone Number	:	915-383-6013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2022
Last Update Date	:	06/09/2026

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