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

MRS. JENNIFER S ETHERTON, MS RD

Active Sole Proprietor

MRS. JENNIFER S ETHERTON, MS RD is a Registered Dietitian healthcare provider located in METROPOLIS, Illinois. NPI 1912109208 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · METROPOLIS, IL

Registration Details

NPI Number
1912109208
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2007 (19.171844453055 yrs)
Last Updated
Jul 8, 2007
License
1188 (KY)
Sole Proprietor
Yes

Practice Information

Address
3198 PINEVIEW LN
METROPOLIS, IL, 629606600
Browse IL providers · Browse ZIP 62960
Phone
6185245798
Primary Specialty
Registered Dietitian
133V00000X
Additional Specialty
Registered Dietitian

Other Registered Dietitian Providers in METROPOLIS, IL

Name Credential NPI
KARLA G CLARK RDN,LD 1033845037
PAMILA PACE WARD 1528824695
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.