Individual
JILLIAN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9204
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
3139
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86111549
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
09/08/2021
Last updated
09/08/2021
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