Organization
COMBINED NUTRITION SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIE LAUREN BUTLER PHD, RDN, LDN (PRESIDENT)
(919) 951-4345
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY STE 1203, JACKSONVILLE, FL 32216-6296
(919) 951-4345
Mailing address
78 W 11TH ST, ATLANTIC BEACH, FL 32233-3461
(919) 951-4345
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8KLR2
BCBS FB ID#
FL
Enumeration date
07/22/2021
Last updated
07/22/2021
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