NPI 1821549015

Jenna Gorham Nutrition Consulting

Organisation Registered Dietitian Bozeman, MT

Practice location

Address: 601 Nikles Dr STE 11, Bozeman, MT 59715-2570
Phone: (508) 904-3454

Authorised official

Name: Jenna Marie Gorham
Title: Owner
Phone: (508) 904-3454

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 49765 (MT)

Other Dietitian, Registered providers in Montana →

Registry record

NPI: 1821549015
Entity type: Organization
NPI issued: 22 Oct 2016
Record last updated: 25 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.