Healthcare Provider Details

I. General information

NPI: 1467045344
Provider Name (Legal Business Name): JENNIFER ZWEIGLE RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2021
Last Update Date: 04/23/2021
Certification Date: 04/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9637 JEFFERSON HWY
BATON ROUGE LA
70809-2632
US

IV. Provider business mailing address

2292 S TURNBERRY AVE
ZACHARY LA
70791-5412
US

V. Phone/Fax

Practice location:
  • Phone: 225-924-8313
  • Fax: 225-922-3774
Mailing address:
  • Phone: 225-788-2890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number911
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: