| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHANTEL THERESE P JIMENEZ | 1982200804 | 2021-07-15 |
Chantel Therese P Jimenez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982200804. Registration indicates Chantel Therese P Jimenez is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Ms. Chantel Therese P Jimenez NP |
| Practice Office Address | 11070 N 24TH AVE PHOENIX, AZ US |
| Practice Office Telephone | 6027959480 |
| Mailing Address | 11070 N 24TH AVE PHOENIX, AZ 850294705 US |
| Business Telephone | 6027959480 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | RN195007
AZ |
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 260688
AZ |