Jimenez, Marilyn
Jimenez, Marilyn is an individual health care provider with primary practice located at 2500 Bernville Rd , Reading PA 19605-9453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jimenez, Marilyn can be contacted via phone (484) 201-4488.Contact Information
Primary practice address
2500 Bernville Rd
Reading PA 19605-9453
Phone: (484) 201-4488
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | SP09482 | Pennsylvania |
Profile Details
| NPI number | 1962970640 |
|---|---|
| LBN Legal business name | Jimenez, Marilyn |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2018 |
| Last updated | Nov 11th, 2018 - about 6 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 | 1962970640 | NPPES |
| Pennsylvania | MEDICAID | SP019482 |
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