Organization
NOURISH NUTRITION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THOMPSON MS, RD, LD (CEO / REGISTERED DIETITIAN)
(334) 790-0734
Entity
Organization
Contact information
Practice address
1600 WHATLEY DRIVE, SUITE 2, DOTHAN, AL 36303
(334) 790-0734
Mailing address
107 YORKSHIRE STREET, DOTHAN, AL 36305
(334) 790-0734
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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