NPI 1639889074
Jenna Countryman
Practice location
- Address
- Indianhead Ave, Usag Humphreys, Apo, AP 96271
- Phone
- (315) 737-2273
- Mailing address
- Psc 444 Box 2098, Apo, AP 96297-0021
Registered specialties
Registered Dietitian
Primary
Registry record
- NPI
- 1639889074
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Nov 2022
- Record last updated
- 3 Nov 2025
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.