Doctor Name: | JENNIFER LYNN GORE |
NPI Number: | 1265755300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | LDN0000002061 |
Business Practice Address: | 701 County Services Dr Cookeville, TN - 385014338 |
Business Phone Number: | 9315282531 |
Business Fax Number: | |
Mailing Address: | 2158 Hilham Hwy, LIVINGSTON |
State: | TN |
Postal Code: | 385708836 |
Phone Number: | 9316443538 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2010 |
NPI Last Update Date: | 03/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LDN0000002061 |
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 |