Doctor Name: | MS. NIKKI P SPENCE |
NPI Number: | 1265588339 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D.,L.D.N. |
License Number: | LDN00001476 |
Business Practice Address: | 1111 Knoxville Hwy Wartburg, TN - 37887 |
Business Phone Number: | 4233466272 |
Business Fax Number: | 4233462349 |
Mailing Address: | 1352 Laurel Rd, CLINTON |
State: | TN |
Postal Code: | 377165460 |
Phone Number: | 8654575191 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LDN00001476 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |