Doctor Name: | JENIFER CADE DOLL |
NPI Number: | 1649527771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | L001520 |
Business Practice Address: | 2222 S 17th St Wilmington, NC - 284017515 |
Business Phone Number: | 9103438209 |
Business Fax Number: | 9103438836 |
Mailing Address: | 2222 S 17th St, WILMINGTON |
State: | NC |
Postal Code: | 284017515 |
Phone Number: | 9103438209 |
Fax Number: | 9103438836 |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L001520 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |