Tammy Louise Jimenez, RN
Individual provider Active NPI Case Management Registered Nurse · Callahan, FL
NPI 1225786221 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1225786221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- RN3360642 (FL)
- Practice address
- 44382 Caties Way
Callahan, FL 32011-7204 - Phone
- (904) 608-0588
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN3360642 | FL | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN3360642 | FL | Yes |
Addresses
Primary practice location
44382 Caties Way
Callahan, FL 32011-7204
Mailing address
44382 Caties Way
Callahan, FL 32011-7204
Phone (904) 608-0588
Other providers in Callahan, FL
- Kerrin D Hartley
- Helping Hands Home Services, LLC
- Holly Elizabeth Hengerer
- Holiday CVS LLC
- Donna Lee Irwin
- Alissa Meredith Johnson
- Tiffany Johnston
- Lathern Barnard Jones
- Lindsey Jones
- Timea Alexandra Kecskemeti-Kovacs
All providers in Callahan, FL · Case Management Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.