Jimenez, Gabrielle D
Jimenez, Gabrielle D is an individual health care provider with primary practice located at 4510 Church Rd , Mount Laurel NJ 08054-2210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Jimenez, Gabrielle D can be contacted via phone (856) 439-0060.Contact Information
Primary practice address
4510 Church Rd
Mount Laurel NJ 08054-2210
Phone: (856) 439-0060
Fax: (856) 452-0344
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 26NJ00907900 | New Jersey |
Profile Details
NPI number | 1457812026 |
---|---|
LBN Legal business name | Jimenez, Gabrielle D |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2019 |
Last updated | Aug 11th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457812026 | NPPES |
New Jersey | Other | 14449580 | CAQH |
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