| Well Nourished Nutrition Therapy, Llc | |
|
4586 Cambridge Cir, Shreveport, LA 71107-3534 | |
| (318) 460-0455 | |
| Not Available |
| Full Name | Well Nourished Nutrition Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4586 Cambridge Cir, Shreveport, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841945797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Jennifer Wilhite |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184011033 PECOS PAC ID: 2163786948 Enrollment ID: I20180502001252 |
| Mailing Address | Practice Location Address |
|---|---|
| Well Nourished Nutrition Therapy, Llc 4586 Cambridge Cir, Shreveport, LA 71107-3534 Ph: (318) 460-0455 | Well Nourished Nutrition Therapy, Llc 4586 Cambridge Cir, Shreveport, LA 71107-3534 Ph: (318) 460-0455 |
Rosa Cori Anderson, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Irving Place, Shreveport, LA 71101 Phone: 318-212-1194 Fax: 318-212-1196 | |
Brittany Hawkins, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-990-5233 | |
Laura Ann Ivy, LDN RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 Fax: 318-429-5724 | |
Mr. Clifton Tate, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-990-5030 | |
Mrs. Elizabeth Lewis Ollendike, MS, RDN, LDN, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-990-4992 | |
Ms. Kelly M Tolar, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 | |
Olivia May Hirsch, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4058 Richmond Ave, Shreveport, LA 71106 Phone: 131-834-7564 |