Healthcare Provider Details

I. General information

NPI: 1821785627
Provider Name (Legal Business Name): JMH NUTRITION CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 TRINITY CHURCH RD
PINEVILLE LA
71360-8412
US

IV. Provider business mailing address

3905 TRINITY CHURCH RD
PINEVILLE LA
71360-8412
US

V. Phone/Fax

Practice location:
  • Phone: 318-446-2551
  • Fax:
Mailing address:
  • Phone: 318-446-2551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: JESSICA HAYES
Title or Position: OWNER
Credential: MS, RD, LDN
Phone: 318-446-2551