Individual
MRS. JENNIFER IRENE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CDE
Contact information
Practice address
204 SEZANNE DRIVE, LITTLE ROCK, AR 72223-5094
(501) 830-3115
Mailing address
204 SEZANNE DRIVE, LITTLE ROCK, AR 72223-5094
(501) 830-3115
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
15208
MD
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15208
RD
MD
Enumeration date
08/14/2007
Last updated
05/28/2020
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