EMILY NICOLE JIMENEZ (Credential# 2017406) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
EMILY NICOLE JIMENEZ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.004806. The credential type is physician assistant. The effective date is May 1, 2020. The expiration date is May 31, 2021. The business address is 22231 E Idyllwilde Dr, Parker, CO 80138-8823. The current status is active.
| Licensee Name | EMILY NICOLE JIMENEZ |
| Credential ID | 2017406 |
| Credential Number | 23.004806 |
| Credential Type | Physician Assistant |
| Business Address |
22231 E Idyllwilde Dr Parker CO 80138-8823 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-01 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 2041967 | CSP.0073867 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-05-04 | 2020-05-04 - 2021-02-28 | ACTIVE |
| Street Address | 22231 E IDYLLWILDE DR |
| City | PARKER |
| State | CO |
| Zip Code | 80138-8823 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Martin A Mcginnis | 22390 E. Hidden Trail Dr., Parker, CO 80138 | Registered Nurse | 2020-06-16 ~ 2017-01-31 |
| Marcy Brakefield | 41291 S Farmhouse Circle, Parker, CO 80138 | Licensed Clinical Social Worker | 2017-08-01 ~ 2018-07-31 |
| Scott Turner | 1105 Singing Hills Rd, Parker, CO 80138 | Medical Marijuana Producer Employee | 2015-03-18 ~ 2016-03-17 |
| Harry L Gustin | 20335 Vista Circle, Parker, CO 80138 | Professional Engineer | 2010-02-17 ~ 2011-01-31 |
| Normandie A Fallon | 11616 Brandywine Lane, Parker, CO 80138 | Registered Nurse | 2010-04-01 ~ 2011-03-31 |
| Carrie Williams | 1261 County Road 186, Parker, CO 80138 | Registered Nurse | 2008-05-15 ~ 2009-06-30 |
| Tracey M Greene | 13537 N. Rose Ridge Rd.., Parker, CO 80138 | Radiographer | 2003-10-20 ~ 2004-10-31 |
| Mary A Fletcher | 12141 South Windy Trail Lane, Parker, CO 80138 | Registered Nurse | 2007-08-21 ~ 2008-08-31 |
| Denise L Inscho | 19924 Victorian Way, Parker, CO 80138-3801 | Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Karen A Giglio | 23501 Bent Oaks Way, Parker, CO 80138-5740 | Registered Nurse | 2016-06-01 ~ 2017-05-31 |
| Find all Licenses in zip 80138 | |||
| City | PARKER |
| Zip Code | 80138 |
| License Type | Physician Assistant |
| License Type + County | Physician Assistant + PARKER |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Nicole Emily Nave | 102 Regency Hill Drive, Watertown, CT 06795 | Physical Therapist Assistant | ~ |
| Suehadee Jimenez Pa-c | 27 Revere Circle, Southbury, CT 06488-1370 | Physician Assistant | 2012-08-01 ~ 2013-07-31 |
| Emily C Day | 4029 Comly St, Philadelphia, PA 19135-3820 | Physician Assistant | 2010-06-01 ~ 2011-05-31 |
| Emily Warden | 137 Victoria Dr, Madison, AL 35758 | Physician Assistant | 2017-04-03 ~ 2018-04-30 |
| Emily Ryan | 15 Sandra Dr, Branford, CT 06405-6137 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Emily L Bernier Pa | 19 S Ridge Rd, Farmington, CT 06032-3020 | Physician Assistant | 2008-04-29 ~ 2009-05-31 |
| Emily K Morrow | 121 Highland Creek Ln, Columbia, SC 29212-2803 | Physician Assistant | ~ |
| Emily Amanda Durocher | 173 Rochela Dr, Southington, CT 06489-4671 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
| Christina Emily Swartzwelder | 1267 1st Ave Apt 7, New York, NY 10065-5613 | Physician Assistant | 2020-03-01 ~ 2021-02-28 |
| Emily Jane Turner | 130 Sutter St, San Francisco, CA 94104-4002 | Physician Assistant | 2018-10-01 ~ 2019-09-30 |
Please comment or provide details below to improve the information on EMILY NICOLE JIMENEZ.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).