NPI 1003837162

Jill Lynette Griesbaum, MSRD

Practitioner Registered Dietitian Mount Vernon, MO

Practice location

Address: 600 N Main St, Mount Vernon, MO 65712-1004
Phone: (417) 466-0187

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 553528 (MO)

Other Dietitian, Registered providers in Missouri →

Registry record

NPI: 1003837162
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2006
Record last updated: 8 Jul 2007

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.