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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457812026 NPPES
New Jersey Other 14449580 CAQH

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