Healthcare Provider Details

I. General information

NPI: 1275324873
Provider Name (Legal Business Name): JAMISON WORLEY NUTRITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2025
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7105 CROSSROADS BLVD STE 102
BRENTWOOD TN
37027-2806
US

IV. Provider business mailing address

31 CAMEO DR
NASHVILLE TN
37211-2632
US

V. Phone/Fax

Practice location:
  • Phone: 615-430-3994
  • Fax:
Mailing address:
  • Phone: 615-430-3994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: JAMISON WORLEY
Title or Position: OWNER
Credential: RDN
Phone: 615-430-3994