Individual provider · Type 1 NPI

Mary Jimenez, LPN

Licensed Practical Nurse · Fort Huachuca, AZ

NPI number 1669924445 Active

Practice location

2240 Winrow Ave, Usa Meddac,rwbahc
Fort Huachuca, AZ 85613

Mailing address

547 E Camino De Manana
Huachuca City, AZ 85616-8137

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP034213 (AZ)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1669924445

Mary Jimenez, LPN's National Provider Identifier is 1669924445, issued on Oct 27, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Huachuca, AZ. The record was last updated on Oct 27, 2016.