Individual provider · Type 1 NPI

Roanne Jimenez

Physician Assistant · Fort Defiance, AZ

NPI number 1245926443 Active

Practice location

Corner Of Route N12 And N7
Fort Defiance, AZ 86504

Call (928) 729-8000 Map

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X61407688 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245926443

Roanne Jimenez's National Provider Identifier is 1245926443, issued on Apr 12, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Nov 28, 2025.