Individual provider · NPI-1
Jennifer Mcdow, MS, CNS, LDN
Nutritionist · Lakeland, FL
NPI number1619668472
StatusActive
Last updated in NPPESMay 15, 2023
Details
- NPI
- 1619668472
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Mcdow
- Credential
- MS, CNS, LDN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2023
- Certification date
- May 15, 2023
- Last updated
- May 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | 12100 | FL | Yes |
Practice location
1202 Kells CtLakeland, FL 33813-1243
Phone 352-665-6639
Mailing address
1202 Kells CtLakeland, FL 33813-1243
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