Individual
JENNIFER PHILLIPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
110 S 12TH ST, WACO, TX 76701-1810
(254) 752-3451
(254) 756-3133
Mailing address
3001 S NEW RD APT 11108, WACO, TX 76706-3853
(803) 493-5129
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83911
TX
Other
Enumeration date
01/20/2016
Last updated
09/11/2019
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