| Doctor Name: | MRS. SHARON ESTELLE JIMENEZ |
| NPI Number: | 1336340116 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC |
| License Number: | RN076116 |
| Business Practice Address: | 204 N. Upper Terrace Drive Apache Diabetes Wellness Center Whiteriver, AZ - 859411210 |
| Business Phone Number: | 9283385278 |
| Business Fax Number: | 9283384974 |
| Mailing Address: | P.o. Box 1210, WHITERIVER |
| State: | AZ |
| Postal Code: | 859411210 |
| Phone Number: | 9283385278 |
| Fax Number: | 9283384974 |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | RN076116 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |