NPI 1134315864 · live from the CMS NPI Registry
Jennifer Gilley Close, RD, LD
Dietitian, Registered in Valley, AL. National Provider Identifier 1134315864, active.
NPI record
| NPI | 1134315864 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 8 Medical Park, Valley, AL 36854 |
| Practice phone | 334-756-4192 |
| Mailing address | 107 College Ave, Lagrange, GA 30240 |
| Enumerated | September 17, 2007 |
| Last updated | October 1, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD003278 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.