Provider Demographics
NPI:1184435893
Name:JILLIAN FOLEY NUTRITIONISTA
Entity type:Organization
Organization Name:JILLIAN FOLEY NUTRITIONISTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:267-449-9733
Mailing Address - Street 1:216 GARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2536
Mailing Address - Country:US
Mailing Address - Phone:267-449-9733
Mailing Address - Fax:
Practice Address - Street 1:216 GARDEN AVE
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2536
Practice Address - Country:US
Practice Address - Phone:267-449-9733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, MetabolicGroup - Single Specialty