NPI 1184018582 · live from the CMS NPI Registry
Jennifer Brunelli, MS, RD, LDN
Dietitian, Registered in Fort Mill, SC. National Provider Identifier 1184018582, active.
NPI record
| NPI | 1184018582 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 282 Lorraine Rd, Fort Mill, SC 29708 |
| Practice phone | 803-479-4272 |
| Enumerated | March 24, 2015 |
| Last updated | March 24, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | L004034 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.