Provider Demographics
NPI:1659509883
Name:JIMERSON, MICHELLE FRANCES (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:FRANCES
Last Name:JIMERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3468 HIAWATHA CT
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-1764
Mailing Address - Country:US
Mailing Address - Phone:970-712-7045
Mailing Address - Fax:
Practice Address - Street 1:3468 HIAWATHA CT
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-1764
Practice Address - Country:US
Practice Address - Phone:970-712-7045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49508207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine