NPI 1124390547 · live from the CMS NPI Registry
Jennifer Davis, RD
Dietitian, Registered in Honolulu, HI. National Provider Identifier 1124390547, active.
NPI record
| NPI | 1124390547 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2828 Paa St, Honolulu, HI 96819 |
| Practice phone | 757-618-5515 |
| Enumerated | January 31, 2012 |
| Last updated | January 31, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 721860 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.