Individual
JENA PEPPERCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1032 ISLEWORTH AVE, CHARLOTTE, NC 28203-5218
(704) 936-7644
Mailing address
1032 ISLEWORTH AVE, CHARLOTTE, NC 28203-5218
(704) 936-7644
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5355
MN
133V00000X
Registered Dietitian
L007177
NC
Other
Enumeration date
07/30/2024
Last updated
07/31/2024
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