Active NPIIndividual provider

Emily N Jimenez, PA-C

Physician Assistant, Medical in Bridgeport, Connecticut

NPI Number1407477334
Practice location
267 Grant St, Bridgeport, CT 06610-2805
Fax
—
Last updated
April 24, 2023

Emily Nicole Jimenez is a Physician Assistant, Medical based in Bridgeport, CT. Emily Nicole Jimenez practices in Bridgeport, CT and has the professional credentials of PA-C. The NPI Number for Emily Nicole Jimenez is 1407477334 and holds a License No. 23.004806 (CT). The current practice location address for Emily Nicole Jimenez is 267 Grant St, Bridgeport, CT 06610-2805 and can be reached out via phone at 203-384-8000.

Provider Profile Details

NPI Number
1407477334
Provider Name
Emily Nicole Jimenez
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
267 Grant St, Bridgeport, CT 06610-2805
Phone Number
203-384-8000
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2020
Last Update Date
April 24, 2023
Certification Date
April 24, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
267 Grant St
Bridgeport, CT 06610-2805
Zip
06610-2805
Phone Number
203-384-8000
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
Po Box 110429
Aurora, CO 80042-0429
City
Aurora
State
CO
Zip
80042-0429

License Information

License Number (1)
23.004806
License State (1)
CT
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
PA.0007761
License State (2)
CO
Taxonomy (2)
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Emily N Jimenez, PA-C?

The NPI number of Emily N Jimenez, PA-C is 1407477334. It was assigned on May 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Emily N Jimenez, PA-C?

Emily N Jimenez, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 23.004806.

Where does Emily N Jimenez, PA-C practice?

The practice location is 267 Grant St, Bridgeport, CT 06610-2805. The office can be reached at 203-384-8000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407477334 directly on the NPPES registry website.

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