Doctor Name: | MRS. JENNIFER JARRETT CLARK |
NPI Number: | 1518202795 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LDN |
License Number: | LDN0000002191 |
Business Practice Address: | 1819 W Clinch Ave Suite 200 Knoxville, TN - 379162434 |
Business Phone Number: | 8659843413 |
Business Fax Number: | 8652125597 |
Mailing Address: | Po Box 52948, KNOXVILLE |
State: | TN |
Postal Code: | 379502948 |
Phone Number: | 8653065708 |
Fax Number: | 8655847712 |
NPI Enumeration Date: | 11/29/2012 |
NPI Last Update Date: | 05/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LDN0000002191 |
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 |