Doctor Name: | JENNIFER LYNN GREENLY |
NPI Number: | 1265607147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LDN |
License Number: | L001762 |
Business Practice Address: | 114 Charlois Blvd Winston Salem, NC - 271031522 |
Business Phone Number: | 3367655470 |
Business Fax Number: | 3364995428 |
Mailing Address: | Po Box 60447, CHARLOTTE |
State: | NC |
Postal Code: | 282600447 |
Phone Number: | 7043847840 |
Fax Number: | 7043847830 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 03/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L001762 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |