Individual
ERIKA NICOLE JENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3990
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1250
KS
133V00000X
Registered Dietitian
Primary
2004029038
MO
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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