Individual provider · Type 1 NPI

Jennifer Wallace

Registered Dietitian · Germantown, TN

NPI number 1124551247 Active

Practice location

2100 Exeter Rd
Germantown, TN 38138-3966

Fax (901) 757-3496

Mailing address

PO Box 405827
Atlanta, GA 30384-5800

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X1977 (TN)

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 1124551247

Jennifer Wallace's National Provider Identifier is 1124551247, issued on Apr 5, 2017. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Germantown, TN. The record was last updated on Apr 5, 2017.