DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANNON R. JIMENEZ, D.O.

Active Sole Proprietor

DR. SHANNON R. JIMENEZ, D.O. is a Family Medicine healthcare provider located in GOLDSBORO, North Carolina. NPI 1568552628 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GOLDSBORO, NC

Registration Details

NPI Number
1568552628
Provider Type
Individual
Gender
Female
NPI Issued
Oct 12, 2006 (19.843996061546 yrs)
Last Updated
Mar 9, 2020
Licenses
9900553 (NC)
S4847 (TX)
9900553 (IA)
Sole Proprietor
Yes

Practice Information

Address
2600 US HIGHWAY 70 WEST
GOLDSBORO, NC, 27530
Browse NC providers · Browse ZIP 27530
Phone
9197352478
Fax
9197394809
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in GOLDSBORO, NC

Name Credential NPI
DR. TARA NICHOLE PIECH MD 1336132893
DR. CAROLYN M SAMPSON M.D. 1841280401
GLENN A ROBERTS D.O. 1508849852
DR. TARA M STATON MD 1649253360
DR. RENU JERATH SETH MD 1568446789
NIMIA J ALSTON MD 1528043148
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.