MEDICARE: MRS. ELLEN DENNING 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	3185	TN

General Provider Information

NPI Number	:	1346968971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELLEN DENNING RDN

Provider Business Mailing Address
First Line	:	10498 ASHLYN VALLEY DR
Second Line	:
City	:	LAKELAND
State	:	TN
Zip	:	38002-2565
Country	:	US
Telephone Number	:	301-238-8952
Fax Number	:

Provider Business Practice Location Address
First Line	:	3960 NEW COVINGTON PIKE
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38128-2589
Country	:	US
Telephone Number	:	901-516-5288
Fax Number	:

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

Provider Enumeration Date	:	08/19/2022
Last Update Date	:	08/19/2022

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