Doctor Name: | JENNA WALKER |
NPI Number: | 1942684857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 37001963A |
Business Practice Address: | 1234 E Dupont Rd Ste 1 Fort Wayne, IN - 468251545 |
Business Phone Number: | 2603737854 |
Business Fax Number: | |
Mailing Address: | 3909 New Vision Dr, FORT WAYNE |
State: | IN |
Postal Code: | 468451725 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/10/2015 |
NPI Last Update Date: | 07/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 37001963A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |