Provider Demographics
NPI:1497000905
Name:JENNIFER LYNN-PULLMAN NUTRITION COUNSELING
Entity Type:Organization
Organization Name:JENNIFER LYNN-PULLMAN NUTRITION COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN-PULLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RD, LDN
Authorized Official - Phone:215-356-9307
Mailing Address - Street 1:308 EVENING WALK LN
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-1663
Mailing Address - Country:US
Mailing Address - Phone:215-356-9307
Mailing Address - Fax:
Practice Address - Street 1:875 N EASTON RD
Practice Address - Street 2:SUITE 6B
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-1068
Practice Address - Country:US
Practice Address - Phone:215-356-9307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000264133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty