Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Nicole Marie Jimenez, MSN, AGNP-BC, OCN

Individual provider Adult Health Nurse Practitioner · NPI 1356893697

Miss. Nicole Marie Jimenez, MSN, AGNP-BC, OCN is a Nurse Practitioner in New York, New York. Qualified in 2016, 10 years ago. Practices with Memorial Solid Tumor Group, a 236-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

300 E 66th St
New York, NY 10065-6800
Phone: (908) 433-5856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F3078421 (NY)

Record details

NPI number1356893697
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , AGNP-BC , OCN
Sole proprietorYes
NPI enumeratedNovember 3, 2016
Last updated in NPPESFebruary 18, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Memorial Solid Tumor Group — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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