Individual
MRS. JENNA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
355 NEW SHACKLE ISLAND RD STE 128B, HENDERSONVILLE, TN 37075-2479
(615) 492-6116
(615) 334-8962
Mailing address
3127 W CHADWICK LN, PEORIA, IL 61614-1018
(309) 713-6502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164005610
IL
133V00000X
Registered Dietitian
Primary
4791
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164005610
RD LICENSE
IL
Enumeration date
03/17/2016
Last updated
12/03/2024
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