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Lisa Jane Jimenez, ARNP
Family Nurse Practitioner in Bunnell, Florida
NPI 1932637543

Lisa Jane Jimenez is a Family Nurse Practitioner based in Port Orange, FL and is specialized in Family. Lisa Jane Jimenez practices in Bunnell, FL and has the professional credentials of ARNP. The NPI Number for Lisa Jane Jimenez is 1932637543 and holds a License No. 9290624 (Florida).

The current practice location address for Lisa Jane Jimenez is 301 Dr Carter Blvd, Bunnell, FL and can be reached out via phone at 386-437-7350.

Location: 301 Dr Carter Blvd, Bunnell, FL, 32127-6629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932637543
Provider Name
Lisa Jane Jimenez
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
301 Dr Carter Blvd, Bunnell, FL, 32127-6629
Phone Number
386-437-7350
Fax Number
Provider Enumeration Date
05/25/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Dr Carter Blvd
City
Bunnell
State
Florida
Zip
32110-6212
Phone Number
386-437-7350
Fax Number
person
Provider Business Mailing Address Details
Address
301 Dr Carter Blvd
City
Bunnell
State
Florida
Zip
32110-6212
Phone Number
386-437-7350
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9290624 (Florida)
Definition
Definition to come...
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