Individual provider · Type 1 NPI

Ivette Andrea Jimenez, NURSE PRACTITIONER

Primary Care Nurse Practitioner · Santa Monica, CA

NPI number 1407308844 Active

Practice location

1260 15th St Ste 1501
Santa Monica, CA 90404-1150

Fax (415) 750-6614

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X95005150 (CA)
Primary Care Nurse Practitioner Primary 363LP2300X95005150 (CA)
Gerontology Nurse Practitioner 363LG0600X95005150 (CA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1407308844

Ivette Andrea Jimenez, NURSE PRACTITIONER's National Provider Identifier is 1407308844, issued on Nov 2, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Santa Monica, CA. The record was last updated on Jun 18, 2021.