Individual
MRS. JENNIFER C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2356-29
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61138
DEAN HEALTH INSURANCE
WI
Enumeration date
01/27/2006
Last updated
08/11/2011
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