NPI 1023271962

Jennifer E Moore, MSRDNLDNCSR

Practitioner Renal Nutrition Registered Dietitian Southaven, MS

Practice location

Address: 3870 Liscott Rd, Southaven, MS 38672-6780
Phone: (702) 533-2259

Registered specialties

Renal Nutrition Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133VN1005X Licence LDN0000001086 (TN)

Other Dietitian, Registered providers in Mississippi →

Registry record

NPI: 1023271962
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2008
Record last updated: 10 Jan 2022

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.