Provider Demographics
NPI:1942888029
Name:STROTHER, JENNIFER (CFN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:STROTHER
Suffix:
Gender:F
Credentials:CFN
Other - Prefix:MRS
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:MCJENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:102 BRIDGEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-6824
Mailing Address - Country:US
Mailing Address - Phone:256-631-5531
Mailing Address - Fax:
Practice Address - Street 1:102 BRIDGEFIELD RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-6824
Practice Address - Country:US
Practice Address - Phone:256-631-5531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-31
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education