JENNIFER JEAN JIMENEZ R142120321 NPI 1447827415

NPI Information

NPI: 1447827415
Provider Name: JENNIFER JEAN JIMENEZ, R142120321
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
298 BERNAL RD
SAN JOSE, CA
ZIP 95119
Phone: (408) 780-0755
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Jennifer Jean Jimenez, R142120321 is an addiction (substance use disorder) counselor in San Jose, CA. Jennifer Jean Jimenez, R142120321 NPI is 1447827415. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

298 BERNAL RD
SAN JOSE, CA
ZIP 95119-809
Phone: (408) 780-0755

The enumeration date for this NPI number is 6/8/2021 and was last updated on 6/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R142120321	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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