| Doctor Name: | MS. JENELL A PLUSKOTA |
| NPI Number: | 1356308928 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS RD |
| License Number: | 164004390 |
| Business Practice Address: | 106 S Division St Carterville, IL - 629181359 |
| Business Phone Number: | 6189854278 |
| Business Fax Number: | |
| Mailing Address: | 106 S Division St, CARTERVILLE |
| State: | IL |
| Postal Code: | 629181359 |
| Phone Number: | 6189854278 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2006 |
| NPI Last Update Date: | 01/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 164004390 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |