| Doctor Name: | MRS. TAMMIE JENKINS GIMENEZ |
| NPI Number: | 1710119508 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHS,R.D.,L.D. |
| License Number: | 489 |
| Business Practice Address: | 620 N Main St Harrison, AR - 726012911 |
| Business Phone Number: | 8704144047 |
| Business Fax Number: | |
| Mailing Address: | Po Box 434, LEAD HILL |
| State: | AR |
| Postal Code: | 72644 |
| Phone Number: | 8704144047 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2009 |
| NPI Last Update Date: | 05/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 489 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |