Individual
DR. JENNIE LAUREN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RDN, LDN
Contact information
Practice address
1900 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-1941
(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
8749
FL
Other
Enumeration date
08/23/2018
Last updated
07/22/2021
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