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Jessica Renee Banks, RD

Dietitian, Registered in Memphis, TN. Individual provider (NPI-1).

NPI number1346905957
StatusActive
Last updated in NPPESNov 8, 2021

Details

NPI
1346905957
Entity type
Individual (NPI-1)
Name
Jessica Renee Banks
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2021
Certification date
Nov 8, 2021
Last updated
Nov 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered3784TNYes

Practice location

3933 Allenbrooke Cv
Memphis, TN 38118-1866

Phone 901-795-2444

Mailing address

917 Polk Ave
Memphis, TN 38104-6034

Phone 901-289-3946

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