Doctor Name: | JENNIFER LYNN GILLILAND |
NPI Number: | 1538168976 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MNT |
License Number: | 3682 |
Business Practice Address: | 3909 Woodley Rd Suite 200 Toledo, OH - 436061169 |
Business Phone Number: | 4192916770 |
Business Fax Number: | |
Mailing Address: | 3909 Woodley Rd, Suite 200 TOLEDO |
State: | OH |
Postal Code: | 436061169 |
Phone Number: | 4192916770 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 3682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |