Mrs Jennifer S Etherton, MS RD | |
3198 Pineview Ln, Metropolis, IL 62960-6600 | |
(618) 524-5798 | |
Not Available |
Full Name | Mrs Jennifer S Etherton |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 3198 Pineview Ln, Metropolis, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912109208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1188 (Kentucky) | Secondary |
133V00000X | Dietitian, Registered | (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer S Etherton, MS RD 3198 Pineview Ln, Metropolis, IL 62960-6600 Ph: (618) 524-5798 | Mrs Jennifer S Etherton, MS RD 3198 Pineview Ln, Metropolis, IL 62960-6600 Ph: (618) 524-5798 |
Karla G Clark, RDN,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 28 Chick St, Metropolis, IL 62960 Phone: 618-524-2176 | |
Pamila Pace Ward, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 28 Chick St, Metropolis, IL 62960 Phone: 618-524-2176 Fax: 618-524-4131 |