Doctor Name: | JENNIFER S. DEHART |
NPI Number: | 1174676852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RD,LD,CNSD |
License Number: | 989 |
Business Practice Address: | 4845 Longmeadow Ln Bessemer, AL - 350227011 |
Business Phone Number: | 2055337677 |
Business Fax Number: | |
Mailing Address: | 4845 Longmeadow Ln, BESSEMER |
State: | AL |
Postal Code: | 350227011 |
Phone Number: | 2055337677 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | 989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |