Most Relevant Information
Provider Data
| NPI Number: | 1003504986 |
| Provider Name: | ALEXA JIMENEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN097962 |
Most Important Dates
| Enumeration Date: | 04/27/2023 |
| Last Updated: | 04/27/2023 |
Provider Practice Location
4083 CLOUD SPRINGS RD
RINGGOLD
GA
307368411
Practice Location Phone/Fax
| Phone: | 8008056985 |
| Fax: |
Provider Mailing Location
4083 CLOUD SPRINGS RD
RINGGOLD
GA
307368411
Provider Mailing Phone/Fax
| Phone: | 8008056989 |
| Fax: |