Provider Demographics
NPI:1265062228
Name:PARENT, JENNIFER (MPH, RD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:PARENT
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 MILNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-1925
Mailing Address - Country:US
Mailing Address - Phone:504-452-9810
Mailing Address - Fax:
Practice Address - Street 1:1936 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5016
Practice Address - Country:US
Practice Address - Phone:504-529-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-18
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
86130833OtherCOMMISSION ON DIETETIC REGISTRATION NUMBER