Individual
EDEN ELIZABETH MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
345 REDMOND ST, JACKSON, WY 83001-3671
(706) 537-4575
Mailing address
PO BOX 2418, JACKSON, WY 83001-2418
(706) 537-4575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311
WYOMING DIETETICS LICENSE
WY
01
—
86052225
COMMISSION ON DIETETIC REGISTRATION
GA
01
—
LD004526
PROFESSIONAL LICENSING BOARDS
GA
Enumeration date
11/23/2015
Last updated
01/29/2025
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