Provider Demographics
NPI:1346055274
Name:JENKINS, WILLIAM KENSEY JR (RD, LDN, CDCES)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:KENSEY
Last Name:JENKINS
Suffix:JR
Gender:M
Credentials:RD, LDN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0008
Mailing Address - Country:US
Mailing Address - Phone:615-364-6435
Mailing Address - Fax:
Practice Address - Street 1:1210 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0008
Practice Address - Country:US
Practice Address - Phone:615-364-6435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1044133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered