Jennifer Dillman, FNTP
Individual provider Active NPI Nutritionist · Henryville, IN
NPI 1265259295 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1265259295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutritionist 133N00000X
- Practice address
- 649 Dieterlen Rd
Henryville, IN 47126-9072 - Phone
- (502) 541-4876
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Yes |
Addresses
Primary practice location
649 Dieterlen Rd
Henryville, IN 47126-9072
Mailing address
649 Dieterlen Rd
Henryville, IN 47126-9072
Phone (502) 541-4876
Other providers in Henryville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.