Individual
MRS. JENNIFER LYNN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N., C.L.C
Contact information
Practice address
165 TOR CT, BERKSHIRE NORTH WIC PROGRAM, PITTSFIELD, MA 01201-3001
(413) 445-9245
(413) 445-9448
Mailing address
73 WHITTIER AVE, PITTSFIELD, MA 01201-7343
(413) 499-0462
(413) 445-9448
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
849104
MA
133V00000X
Registered Dietitian
849104
MA
133VN1004X
Pediatric Nutrition Registered Dietitian
849104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
849104
MA LICENSE
MA
Enumeration date
11/22/2006
Last updated
09/11/2025
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