| NPI | 1609301019 |
|---|---|
| Other Name | JESSIE CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD006614) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ND 1401) |
| 133V00000X Dietitian, Registered (Licence: MS D2350) | |
| 133V00000X Dietitian, Registered (Licence: LA 3607) | |
| 133V00000X Dietitian, Registered (Licence: NE 1566) | |
| 133V00000X Dietitian, Registered (Licence: IA 084447) | |
| 133V00000X Dietitian, Registered (Licence: WY 450) | |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2024-01-25 |