Individual
JENNA BISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
7536 OAKTREE LN, HAUGHTON, LA 71037-8766
(318) 517-7057
Mailing address
7536 OAKTREE LN, HAUGHTON, LA 71037-8766
(318) 517-7057
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86071352
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
06/17/2021
Last updated
06/17/2021
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