Individual provider · Type 1 NPI

Jennifer Rose, RD

Registered Dietitian · Fort Wayne, IN

NPI number 1063052264 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Mailing address

1606 Millennium Xing
Fort Wayne, IN 46845-9198

Other practice locations

  • 1606 Millennium Xing, Fort Wayne, IN 46845-9198 · (260) 341-6417

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X37001996A (IN)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1063052264

Jennifer Rose, RD's National Provider Identifier is 1063052264, issued on Jan 15, 2020. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 15, 2020.