Provider Demographics
NPI:1134905995
Name:JIMENEZ GONZALEZ, ARISBEL (APRN)
Entity type:Individual
Prefix:
First Name:ARISBEL
Middle Name:
Last Name:JIMENEZ GONZALEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 CRESTVIEW CIR UNIT 206
Mailing Address - Street 2:
Mailing Address - City:IMMOKALEE
Mailing Address - State:FL
Mailing Address - Zip Code:34142-2733
Mailing Address - Country:US
Mailing Address - Phone:210-721-3198
Mailing Address - Fax:
Practice Address - Street 1:315 S W C OWEN AVE
Practice Address - Street 2:
Practice Address - City:CLEWISTON
Practice Address - State:FL
Practice Address - Zip Code:33440-3637
Practice Address - Country:US
Practice Address - Phone:863-983-7813
Practice Address - Fax:844-539-1104
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028196363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty