Individual provider · Type 1 NPI

Irene - Jimenez, RN, PHN

Community Health Registered Nurse · Fairfield, CA

NPI number 1417017971 Active

Practice location

275 Beck Ave
Fairfield, CA 94533-6804

Fax (707) 421-7484

Mailing address

8708 Pacific Hills Way
Sacramento, CA 95828-5123

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X288830 (CA)

Community Health Registered Nurse: Definition to come...

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About NPI 1417017971

Irene - Jimenez, RN, PHN's National Provider Identifier is 1417017971, issued on Dec 12, 2006. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Fairfield, CA. The record was last updated on Jul 8, 2007.