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Contact Information

ROANNE JIMENEZ
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ86504
 Phone: 928-729-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ROANNE JIMENEZ · (Female)

NPI # 1245926443
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2023
Last updated 11/28/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • WA License # 61407688
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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