Provider Demographics
NPI:1720797939
Name:BARNES, JAMIE (RDN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5122 KEDRON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-7554
Mailing Address - Country:US
Mailing Address - Phone:865-748-4224
Mailing Address - Fax:
Practice Address - Street 1:5122 KEDRON RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-7554
Practice Address - Country:US
Practice Address - Phone:865-748-4224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-16
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist