Glenda Fe Jimenez, RN
Individual provider Active NPI Registered Nurse · McClellan, CA
NPI 1225314503 · NPPES record last updated Oct 31, 2011
Key facts
- NPI
- 1225314503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 653492 (CA)
- Practice address
- 5342 Dudley Blvd
McClellan, CA 95652-1012 - Phone
- (916) 561-7520
- Fax
- (916) 561-7529
- NPI assigned
- Oct 31, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 653492 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 653492 | CA | Yes |
Addresses
Primary practice location
5342 Dudley Blvd
McClellan, CA 95652-1012
Mailing address
5342 Dudley Blvd
McClellan, CA 95652-1012
Phone (916) 561-7520
Other providers in McClellan, CA
- Seth David Ichikawa
- Michael Caesar Isip
- Janelle K Fisher
- Sabri Alise Janovich
- Moon Yub Jeu
- Jessica Marie Johnson
- Tresa M Jones
- Julie Kirkes
- Debra Lynne Karling-Isaacs
- Scott Kazer
All providers in McClellan, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.