Wallace, Jennifer

Wallace, Jennifer is an individual health care provider with primary practice located at 2100 Exeter Rd , Germantown TN 38138-3966. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wallace, Jennifer can be contacted via phone (901) 757-1350.

Contact Information

Primary practice address
2100 Exeter Rd Germantown TN 38138-3966
Phone: (901) 757-1350
Fax: (901) 757-3496
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1977 Tennessee

Profile Details

NPI number 1124551247
LBN Legal business name Wallace, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2017
Last updated Apr 5th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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