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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SARAH GEHRING PROVENCE, MS, RD, LDN, CDCES

Active

Registered Dietitian · SOUTHAVEN, MS

Registration Details

NPI Number
1003476417
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2019 (6.8439451324393 yrs)
Last Updated
Dec 14, 2023
Licenses
D1643 (MS)
2733 (TN)

Practice Information

Address
2150 DICKENS PLACE DR
SOUTHAVEN, MS, 386727152
Browse MS providers · Browse ZIP 38672
Phone
9013877314
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Pediatric Nutrition

Other Registered Dietitian Providers in SOUTHAVEN, MS

Name Credential NPI
MISS KIMBERLY RACHELLE KILPATRICK RD, LD 1740450410
MISS ALISSA M VILLARRUBIA MS, RD, LD 1427228162
MRS. WILMETTA ROBINSON NEELY R.D., L.D.N. 1467623835
MS. ANDREA RENEE KOMM MS, RD, LD 1700057031
JUDY GALLOWAY RD, LD, LDN, CDE 1922336387
MRS. LEXANN PATE BURSI RD, LDN 1518268705
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.