Doctor Name: | JENNA ROSE BUCKLEY |
NPI Number: | 1811278070 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CD RD |
License Number: | 2286 |
Business Practice Address: | 3807 Spring St Mount Pleasant, WI - 534051667 |
Business Phone Number: | 2626876339 |
Business Fax Number: | 2626876345 |
Mailing Address: | 3807 Spring St, MOUNT PLEASANT |
State: | WI |
Postal Code: | 534051667 |
Phone Number: | 2626876339 |
Fax Number: | 2626876345 |
NPI Enumeration Date: | 09/01/2011 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |