NPI 1003476417

Sarah Gehring Provence, MSRDLDNCDCES

Practitioner Registered Dietitian Southaven, MS

Practice location

Address: 2150 Dickens Place Dr, Southaven, MS 38672-7152
Phone: (901) 387-7314

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D1643 (MS)

Other Dietitian, Registered providers in Mississippi →

Pediatric Nutrition Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133VN1004X Licence 2733 (TN)

Registry record

NPI: 1003476417
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2019
Record last updated: 14 Dec 2023

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.