Individual
JENNIFER CHRISTINE ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2620 STEIN BLVD, EAU CLAIRE, WI 54701-6201
(715) 831-0100
(715) 831-0108
Mailing address
PO BOX 2060, EAU CLAIRE, WI 54702-2060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1231
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804979
ADA CERT
—
Enumeration date
02/28/2007
Last updated
07/08/2007
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