Doctor Name: | MRS. BRIDGET CROWN |
NPI Number: | 1750483681 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,RD |
License Number: | 1624 |
Business Practice Address: | 1030 Jefferson Ave N&fs (120) Memphis, TN - 381042127 |
Business Phone Number: | 9015238990 |
Business Fax Number: | 9015777413 |
Mailing Address: | 9932 Woodland Fern Dr, LAKELAND |
State: | TN |
Postal Code: | 380023809 |
Phone Number: | 9015238990 |
Fax Number: | 9015777413 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1624 |
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 |