Individual
JENNIFER NICOLE SISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1266 JACKSON POND CIR, CORDOVA, TN 38018-7128
(901) 438-5755
Mailing address
1266 JACKSON POND CIR, CORDOVA, TN 38018-7128
(901) 438-5755
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
962488
TN
Other
Enumeration date
10/15/2008
Last updated
01/18/2017
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