Jennifer Nixon, MBA, RDN
Dietitian, Registered in Louisville, KY. Individual provider (NPI-1).
NPI number1164060356
StatusActive
Last updated in NPPESDec 18, 2019
Details
- NPI
- 1164060356
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Nixon
- Credential
- MBA, RDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2019
- Certification date
- Dec 18, 2019
- Last updated
- Dec 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 243685 | KY | Yes |
Practice location
3329 Wellingmoor AveLouisville, KY 40218-1028
Phone 502-550-6424
Mailing address
3329 Wellingmoor AveLouisville, KY 40218-1028
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