Provider Demographics
NPI:1750689089
Name:HOFFMAN, JENNY GRUBB (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:GRUBB
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 OAK GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-7618
Mailing Address - Country:US
Mailing Address - Phone:828-263-7281
Mailing Address - Fax:803-296-2548
Practice Address - Street 1:446 OAK GROVE RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-7618
Practice Address - Country:US
Practice Address - Phone:828-263-7281
Practice Address - Fax:803-296-2548
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL005231133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered