Organization
JENNI K NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER K JACKSON MPH, RDN, LD (REGISTERED DIETITIAN NUTRITIONIST)
(505) 596-0314
Entity
Organization
Contact information
Practice address
13017 BEAR DANCER TRL NE, ALBUQUERQUE, NM 87112-3726
(505) 596-0314
Mailing address
11024 MONTGOMERY BLVD NE # 260, ALBUQUERQUE, NM 87111-3962
(505) 596-0314
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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