Individual
JENNIFER ANN FLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RDN, LDN, CDE
Contact information
Practice address
700 W MARKET ST, ATHENS, AL 35611-2422
(256) 233-9146
Mailing address
700 W MARKET ST, NUTRITION & DIABETES EDUCATION, ATHENS, AL 35611
(256) 233-9146
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
2631
AL
Other
Enumeration date
01/01/2019
Last updated
01/01/2019
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