Individual provider · Type 1 NPI

Emily Nicole Jimenez, PA-C

Medical Physician Assistant · Bridgeport, CT

NPI number 1407477334 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Call (203) 384-8000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 12605 E 16th Ave, Aurora, CO 80045-2545 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X23.004806 (CT)
Medical Physician Assistant Primary 363AM0700XPA.0007761 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1407477334

Emily Nicole Jimenez, PA-C's National Provider Identifier is 1407477334, issued on May 1, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 24, 2023.