| Molly E Jimenez, ARNP | |
|
120 Cypress Edge Dr Ste 202, Ste 101, Palm Coast, FL 32164 | |
| (386) 586-4462 | |
| (386) 586-4463 |
| Full Name | Molly E Jimenez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 120 Cypress Edge Dr Ste 202, Palm Coast, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699059618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | ARNP9183641 (Florida) | Primary |
| Entity Name | Wound Technology Network, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626 |
| Entity Name | Adventhealth Primary Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
| Entity Name | WT Health of Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982434106 PECOS PAC ID: 5294268124 Enrollment ID: O20241030001547 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly E Jimenez, ARNP 20 Cypress Edge Dr Ste 202, Ste 101, Palm Coast, FL 32164 Ph: (386) 586-4462 | Molly E Jimenez, ARNP 120 Cypress Edge Dr Ste 202, Ste 101, Palm Coast, FL 32164 Ph: (386) 586-4462 |
Ashley Nicole Briggs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Pinnacles Dr Ste 1, Palm Coast, FL 32164 Phone: 386-231-6549 Fax: 386-231-6550 |
Matthew Jurdak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27 Waverly Ln, Palm Coast, FL 32164 Phone: 718-608-5614 |
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861 |
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333 |
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373 |
Amanda Vera, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811 |
Traci Serrano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720 |