MEDICARE: A FRESH PAGE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	133NN1002X	Nutrition Education Nutritionist
2	174H00000X	Health Educator
3	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1588512115
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A FRESH PAGE, LLC

Provider Business Mailing Address
First Line	:	911 VALLEY RIDGE DR APT 202
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-1540
Country	:	US
Telephone Number	:	205-965-6935
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 VALLEY RIDGE DR APT 202
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-1540
Country	:	US
Telephone Number	:	205-965-6935
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER AND CEO
Name	:	DR. JAMILAH RHASIDA MARIAMA PAGE ANOFIENAM
Credential	:	PHD, RDN, LDN
Telephone Number	:	205-965-6935

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “A FRESH PAGE, LLC ” Practice Location

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