Provider Demographics
NPI:1336527241
Name:ASKEW, JENNY REBECCA (MS, RD, LD, ACSM-HFS)
Entity Type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:REBECCA
Last Name:ASKEW
Suffix:
Gender:F
Credentials:MS, RD, LD, ACSM-HFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 BIRCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4212
Mailing Address - Country:US
Mailing Address - Phone:757-869-9951
Mailing Address - Fax:
Practice Address - Street 1:11660 ALPHARETTA HWY
Practice Address - Street 2:STE 290
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4943
Practice Address - Country:US
Practice Address - Phone:757-869-9951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD003796133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered