Individual provider · Type 1 NPI
Joshua Dale Moran Jimenez, DNP, APRN, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Charleston, SC
NPI number
1104659663
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 29235 (SC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104659663
Joshua Dale Moran Jimenez, DNP, APRN, PMHNP's National Provider Identifier is 1104659663, issued on Aug 21, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Charleston, SC. The record was last updated on Aug 21, 2024.