Individual provider · Type 1 NPI
Jessica Jimenez, FNP
Family Nurse Practitioner · Portland, OR
NPI number
1154339679
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 494-1983
Other practice locations
- 12710 SE Division St, Portland, OR 97236-3134 · (503) 988-6575
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200241905RN (OR) |
| Family Nurse Practitioner Primary | 363LF0000X | 200450101NP (OR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154339679
Jessica Jimenez, FNP's National Provider Identifier is 1154339679, issued on Aug 3, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Jan 2, 2019.