NPI 1710119508

Tammie Jenkins Gimenez, MHSRDLD

Practitioner Registered Dietitian Harrison, AR

Practice location

Address: 620 N Main St, Harrison, AR 72601-2911
Phone: (870) 414-4047
Mailing address: PO Box 434, Lead Hill, AR 72644

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 489 (AR)

Other Dietitian, Registered providers in Arkansas →

Registry record

NPI: 1710119508
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Aug 2009
Record last updated: 22 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.