Individual
JENNIFER M SCHORNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-6137
(317) 630-2478
Mailing address
305 DAFFON DR, INDIANAPOLIS, IN 46227-2603
(317) 630-6137
(317) 630-2478
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001590A
IN
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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