Doctor Name: | MS. ADRIENNE FRANTONIO JEFFERSON |
NPI Number: | 1932323631 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | DT05838 |
Business Practice Address: | Dwight D. Eisenhower Amc 300 Hospital Road Fort Gordon, GA - 309055650 |
Business Phone Number: | 7067875811 |
Business Fax Number: | |
Mailing Address: | 1450 Marion County Rd #3212, JEFFERSON |
State: | TX |
Postal Code: | 756575318 |
Phone Number: | 2149143431 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DT05838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |