Provider Demographics
NPI:1982257572
Name:JASMIN NUTRITION LLC
Entity Type:Organization
Organization Name:JASMIN NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JASMIN
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LDN
Authorized Official - Phone:781-733-8508
Mailing Address - Street 1:46 NORTHEY ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3905
Mailing Address - Country:US
Mailing Address - Phone:781-733-8508
Mailing Address - Fax:978-306-2689
Practice Address - Street 1:46 NORTHEY ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3905
Practice Address - Country:US
Practice Address - Phone:781-733-8508
Practice Address - Fax:978-306-2689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-23
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty