| Doctor Name: | MRS. JENNIFER LYNN SMITH |
| NPI Number: | 1962668392 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS RD LD LMT |
| License Number: | 5531 |
| Business Practice Address: | 59 W Dave Longaberger Ave Dresden, OH - 438219687 |
| Business Phone Number: | 7402528034 |
| Business Fax Number: | 6147223098 |
| Mailing Address: | 59 W Dave Longaberger Ave, DRESDEN |
| State: | OH |
| Postal Code: | 438219687 |
| Phone Number: | 7402528034 |
| Fax Number: | 6147223098 |
| NPI Enumeration Date: | 08/05/2008 |
| NPI Last Update Date: | 08/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1004X |
| License Number: | 5531 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Pediatric |
| Taxonomy Definition: | |