NPI 1730925983

Jill Caroland Blasingame, DTR

Practitioner Registered Dietetic Technician Memphis, TN

Practice location

Address: 116 N Pauline St, Memphis, TN 38104-1005
Phone: (901) 523-4952

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 1092925 (TN)

Other Dietetic Technician, Registered providers in Tennessee →

Registry record

NPI: 1730925983
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2024
Record last updated: 8 Jul 2024

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.