Doctor Name: | LEANETTA ALLEN |
NPI Number: | 1619946704 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | RD1307 |
Business Practice Address: | 700 W Forest Ave Ste 300 Jackson, TN - 383013937 |
Business Phone Number: | 7314220330 |
Business Fax Number: | 7314220220 |
Mailing Address: | Po Box 400, JACKSON |
State: | TN |
Postal Code: | 383020400 |
Phone Number: | 7314238697 |
Fax Number: | 7314225743 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 11/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | RD1307 |
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 |