Provider Demographics
NPI:1477586683
Name:ASBILL, JENNA C (RD)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:C
Last Name:ASBILL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4130 E US HIGHWAY 64
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-6845
Mailing Address - Country:US
Mailing Address - Phone:828-835-7562
Mailing Address - Fax:828-835-7539
Practice Address - Street 1:4130 E US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-6845
Practice Address - Country:US
Practice Address - Phone:828-835-7562
Practice Address - Fax:828-835-7539
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002811133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered