Provider Demographics
NPI:1780713669
Name:SCHORLING, JENRY R (LDN, RD)
Entity type:Individual
Prefix:
First Name:JENRY
Middle Name:R
Last Name:SCHORLING
Suffix:
Gender:F
Credentials:LDN, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6078 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-5726
Mailing Address - Country:US
Mailing Address - Phone:504-895-9441
Mailing Address - Fax:504-895-1813
Practice Address - Street 1:112 RIVER OAKS DR
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-7100
Practice Address - Country:US
Practice Address - Phone:985-651-2342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1596133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered