Individual provider · Type 1 NPI

Jeanette Carol Jimenez, DNP, AGACNP-BC

Gerontology Nurse Practitioner · New York, NY

NPI number 1225742117 Active

Practice location

462 1st Ave
New York, NY 10016-9196

Call (732) 910-2953 Map

Mailing address

34 Flagstone Dr
Port Reading, NJ 07064-1210

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X26NJ01376100 (NJ)
Acute Care Nurse Practitioner 363LA2100X432527 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1225742117

Jeanette Carol Jimenez, DNP, AGACNP-BC's National Provider Identifier is 1225742117, issued on Jan 6, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New York, NY. The record was last updated on Nov 24, 2025.