Lisa Jane Jimenez, ARNP | |
301 Dr Carter Blvd, Bunnell, FL 32110-6212 | |
(386) 437-7350 | |
Not Available |
Full Name | Lisa Jane Jimenez |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 301 Dr Carter Blvd, Bunnell, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932637543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 9290624 (Florida) | Primary |
Entity Name | Tui Family Medicine Pl |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386940013 PECOS PAC ID: 7911182407 Enrollment ID: O20110427000251 |
Mailing Address | Practice Location Address |
---|---|
Lisa Jane Jimenez, ARNP 4119 S Atlantic Ave, Port Orange, FL 32127-6629 Ph: (386) 405-8843 | Lisa Jane Jimenez, ARNP 301 Dr Carter Blvd, Bunnell, FL 32110-6212 Ph: (386) 437-7350 |
Amy L. Coopersmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 | |
Joella Cauley Hall, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3760 Pear Ave, Bunnell, FL 32110 Phone: 386-793-6628 Fax: 386-437-5912 | |
Mrs. Deborah A Frazer, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 | |
Brittany Bracewell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 N Cherry St, Bunnell, FL 32110 Phone: 386-276-5670 | |
Mrs. Andrea Jean Thompson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Peach St, Bunnell, FL 32110 Phone: 386-237-4032 | |
Monique M. Berces-mardenly, FNP, MSN, MPH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 Fax: 386-437-7353 | |
Mrs. Betty Kachnycz, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Dr Carter Blvd, Bunnell, FL 32110 Phone: 386-437-7350 Fax: 386-437-8232 |