Individual
GRETA JERNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 DUNWOODY BLVD, KNOXVILLE, TN 37919-8740
(865) 300-8193
Mailing address
1605 DUNWOODY BLVD, KNOXVILLE, TN 37919-8740
(865) 300-8193
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
720707
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
512
LICENSURE
TN
Enumeration date
10/20/2025
Last updated
10/20/2025
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