Doctor Name: | MS. JOLEEN MARIE GREEN |
NPI Number: | 1316935620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LDN CDE |
License Number: | DN003333 |
Business Practice Address: | 125 E 34th St Erie, PA - 165041509 |
Business Phone Number: | 8143354147 |
Business Fax Number: | |
Mailing Address: | 125 E 34th St, ERIE |
State: | PA |
Postal Code: | 165041509 |
Phone Number: | 8143354147 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2005 |
NPI Last Update Date: | 01/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN003333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |