Provider Demographics
NPI:1750120275
Name:MENNING, JENNY LOUISE (MS, RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:LOUISE
Last Name:MENNING
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2938 RESERVOIR DR
Mailing Address - Street 2:
Mailing Address - City:MOGADORE
Mailing Address - State:OH
Mailing Address - Zip Code:44260-9742
Mailing Address - Country:US
Mailing Address - Phone:330-958-6348
Mailing Address - Fax:
Practice Address - Street 1:2938 RESERVOIR DR
Practice Address - Street 2:
Practice Address - City:MOGADORE
Practice Address - State:OH
Practice Address - Zip Code:44260-9742
Practice Address - Country:US
Practice Address - Phone:330-958-6348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1106405133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered