Jennifer Lynn Nicholson, RD, LD/N, MSH

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003728 Issued in GA

Practice address

3226 Hampton Ave Ste F
Brunswick, GA 31520-4252

Phone

(912) 264-9724

NPI assigned

Sep 27, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1346523297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE STE F",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204252",
            "telephone_number": "912-264-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE STE F",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204252",
            "telephone_number": "912-264-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RD, LD/N, MSH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND5215",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Temples Newbern
• Geraldine Newman, L.M.T.
• Lisa Marie Newman, L.M.T.
• Lisanne P Newton, M.D.
• Brent H Nichols, LPC
• Caroline Strickland Norris, CAA
• Samuel Thomas Norris Jr., DMD
• Northland Hearing Center, Inc.
• Northwest Diagnostic Imaging, Inc
• Tekisha Mitchell Norwood, LCSW

• Registered Dietitian in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.