Provider Demographics
NPI:1306378831
Name:FLEISCHER, JENNIFER (MS, RDN, LDN, CDE)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:FLEISCHER
Suffix:
Gender:F
Credentials:MS, RDN, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 BRIGHTON RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2526
Mailing Address - Country:US
Mailing Address - Phone:615-293-2518
Mailing Address - Fax:
Practice Address - Street 1:3616 BRIGHTON RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2526
Practice Address - Country:US
Practice Address - Phone:615-293-2518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1016302133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered