JENNIFER WALLACE

Dietitian, Registered

Active Individual
NPI: 1124551247

Practice Address

2100 EXETER RD
Germantown, TN 38138

Phone: (901) 757-1350

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes 1977 (TN)

Frequently Asked Questions

NPI 1124551247 is the National Provider Identifier for JENNIFER WALLACE, a Dietitian, Registered provider located in Germantown, TN. This NPI was enumerated on April 5, 2017.
JENNIFER WALLACE practices at 2100 EXETER RD, Germantown, TN 38138.

Quick Facts

NPI
1124551247
Type
Individual
Enumerated
Apr 5, 2017
Last Updated
Apr 5, 2017

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