NPI 1205534021

Jesse Anderson, RDNLD

Practitioner Registered Dietitian Homewood, AL

Practice location

Address: 234 Goodwin Crest Dr, Homewood, AL 35209-3701
Phone: (205) 290-4567
Fax: (205) 943-4987

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 3352 (AL)

Other Dietitian, Registered providers in Alabama →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86254087

Registry record

NPI: 1205534021
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Feb 2023
Record last updated: 21 Feb 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.