| Doctor Name: | MRS. JENNIFER HAYMORE DIETZ |
| NPI Number: | 1790917979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CDE, LDN, MSPH |
| License Number: | L001930 |
| Business Practice Address: | 625 Piney Forest Rd Suite 306d Danville, VA - 245402867 |
| Business Phone Number: | 4345480476 |
| Business Fax Number: | 4347913330 |
| Mailing Address: | 625 Piney Forest Rd, Suite 306d DANVILLE |
| State: | VA |
| Postal Code: | 245402867 |
| Phone Number: | 4345480476 |
| Fax Number: | 4347913330 |
| NPI Enumeration Date: | 08/20/2009 |
| NPI Last Update Date: | 04/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | L001930 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |