Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JILL LYNETTE GRIESBAUM, MS, RD
Active Sole ProprietorMRS. JILL LYNETTE GRIESBAUM, MS, RD is a Registered Dietitian healthcare provider located in MOUNT VERNON, Missouri. NPI 1003837162 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · MOUNT VERNON, MO
Registration Details
- NPI Number
- 1003837162
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2006 (20.021267386392 yrs)
- Last Updated
- Jul 8, 2007
- License
-
553528 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 N MAIN STMOUNT VERNON, MO, 657121004Browse MO providers · Browse ZIP 65712
- Phone
- 4174660187
- Primary Specialty
-
Registered Dietitian
133V00000X
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.