Individual
JENNA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1932 ALCOA HWY, KNOXVILLE, TN 37920-1527
(865) 971-3539
Mailing address
PO BOX 6765, MARYVILLE, TN 37802-6765
(865) 235-1777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000002384
TN
Other
Enumeration date
09/19/2016
Last updated
09/17/2020
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