Doctor Name: | MRS. GEORGIA A JANSSEN |
NPI Number: | 1649272659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD LDN |
License Number: | 2004029301 |
Business Practice Address: | 1005 Broadway St Quincy, IL - 623012834 |
Business Phone Number: | 2172238400 |
Business Fax Number: | 2172239716 |
Mailing Address: | 1005 Broadway St, QUINCY |
State: | IL |
Postal Code: | 623012834 |
Phone Number: | 2172238400 |
Fax Number: | 2172239716 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 08/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2004029301 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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 |