Individual
JENNIFER MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP, RD, LDN
Contact information
Practice address
125 QUEENS RD STE 330, CHARLOTTE, NC 28204-3215
(704) 384-5043
(704) 384-8895
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-5043
(704) 384-8895
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004143
NC
Other
Enumeration date
03/18/2015
Last updated
03/17/2023
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