MEDICARE: CHELSEA LEBLANC JONES RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LDN0000003037	TN

General Provider Information

NPI Number	:	1528604881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA LEBLANC JONES RDN

Provider Business Mailing Address
First Line	:	3206 GO RUN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-2556
Country	:	US
Telephone Number	:	901-359-4009
Fax Number	:

Provider Business Practice Location Address
First Line	:	3206 GO RUN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-2556
Country	:	US
Telephone Number	:	901-359-4009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2019
Last Update Date	:	01/03/2023

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