Individual
JENNIFER N HANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
9173 BENEVOLENT CT, PROVIDENCE VILLAGE, TX 76227-1305
(214) 621-0584
Mailing address
9173 BENEVOLENT CT, PROVIDENCE VILLAGE, TX 76227-1305
(214) 621-0584
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
TX
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
07/07/2019
Last updated
02/14/2025
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