Jeanne Hall, MS, RD, CDE

Individual provider Active NPI Registered Dietitian · Hawthorne, NV

NPI 1124258181 · NPPES record last updated Jul 23, 2009

Key facts

NPI
1124258181
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
Practice address
399 Connelly
Hawthorne, NV 89415
Phone
(775) 945-3693
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Yes

Addresses

Primary practice location

399 Connelly
Hawthorne, NV 89415

Mailing address

PO Box 1812
Hawthorne, NV 89415-1812
Phone (775) 945-3693

Other providers in Hawthorne, NV

All providers in Hawthorne, NV · Registered Dietitian in Nevada

Sources for this page

Verify at the official NPI Registry.