Individual
MRS. JENNIFER LEE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCES, MS, RDN, LD
Contact information
Practice address
2000 6TH AVENUE SOUTH, BIRMINGHAM, AL 35233
(205) 801-8171
Mailing address
2000 6TH AVENUE SOUTH, BIRMINGHAM, AL 35233
(205) 801-8171
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
589
AL
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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