JENNIFER ANN FLACK


Address: 700 W Market St, Athens, AL 35611-2422
Phone: 2562339146

JENNIFER ANN FLACK (NPI# 1396217360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396217360
Entity Type Individual
Full Name JENNIFER ANN FLACK
Credential MPH, RDN, LDN, CDE
Practice Address 700 W Market St
Athens
AL 35611-2422
Mailing Address 700 W Market St
Nutrition & Diabetes Education
Athens
AL 35611
Practice Telephone 2562339146
Mailing Telephone 2562339146
Enumeration Date 2019-01-01
Last Update Date 2019-01-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
2631 AL Dietary & Nutritional Service Providers

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1598041832 Jennifer Lydia Flack Counselor 209 S Maple Ave, Greensburg, PA 15601-3216 2011-11-01
1821221631 Jennifer Lenore Flack Psychologist 127 N River St, Fenton, MI 48430-3800 2009-08-26

Office Location

Street Address 700 W MARKET ST
City ATHENS
State AL
Zip Code 35611-2422

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699778803 Arthur Lynn Womble Nurse Anesthetist, Certified Registered 700 W Market St, Athens, AL 35611-2457 2005-05-23
1952957862 Maizee Black Kelley Nurse Anesthetist, Certified Registered 700 W Market St, Athens, AL 35611-2457 2019-08-15
1346896784 Jamia Moore Nurse Anesthetist, Certified Registered 700 W Market St, Athens, AL 35611-2457 2019-08-12
1114412525 Kristy Elaine Parrish Nurse Practitioner 700 W Market St, Athens, AL 35611-2422 2018-06-27
1427553908 Riddhi P Sutton Nurse Practitioner 700 W Market St, Athens, AL 35611-2457 2018-03-27
1932608429 Natalee Jean Kilpatrick Nurse Practitioner 700 W Market St, Athens, AL 35611-2457 2018-02-09
1487162673 Coty Michelle Webster Specialist/Technologist, Other 700 W Market St, Athens, AL 35611-2457 2018-01-22
1467969477 Caroline Fogleman Mikach Nurse Anesthetist, Certified Registered 700 W Market St, Athens, AL 35611-2457 2017-12-29
1831634989 North Alabama Specialty Hospital Long Term Care Hospital 700 W Market St, 2 South, Athens, AL 35611-2457 2016-12-28
1447701453 Nash Physician Billing Internal Medicine 700 W Market St, Athens, AL 35611-2457 2016-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164023529 Aderholt Medical, LLC Family Medicine 320 Old Us-31 N, Athens, AL 35611 2020-11-03
1295333409 Olivia Palmer Nurse Practitioner 770 W Market St, Athens, AL 35611 2020-10-12
1104467901 Michael S Layman Hearing Instrument Specialist 809 Hwy 72 W., Steg, Suite G, Athens, AL 35611 2019-10-02
1508425901 Courtney Rae Ringrose Dentist 1323 Us Highway 72 E, Athens, AL 35611 2019-06-10
1225585391 Advantage Health Solutions,llc Family Medicine 707 West Market St Ste A, Athens, AL 35611 2016-09-07
1306293618 Brady Aderholt Nurse Practitioner 411 N Houston St, Athens, AL 35611 2016-05-17
1891154647 Hh Health System - Retail Pharmacy LLC Pharmacy 700 W. Market Street, Suite 100, Athens, AL 35611 2016-02-22
1790188779 U Save Pharmacies LLC Pharmacy 1285 Hwy 72 E, Athens, AL 35611 2014-10-03
1497176564 Hometown Pharmacy of Limestone County, LLC Pharmacy 100 Highway 31, Suite H, Athens, AL 35611 2013-12-17
1760819015 William Todd Waggoner Pharmacist 104 Highway 31 North, Athens, AL 35611 2013-10-02
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Taxonomy Information

Taxonomy Code 133VN1006X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Metabolic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174676852 Jennifer S. Dehart Dietitian, Registered 4845 Longmeadow Ln, Bessemer, AL 35022-7011 2007-01-18
1518015809 Leigh A. Rutledge Dietitian, Registered 1310 14th Ave Se, Decatur, AL 35601-4347 2007-01-05
1548281561 Teodoro Pagulayan Cristobal Dietitian, Registered 2400 Hospital Rd, Tuskegee, AL 36083-5001 2006-07-22

Competitor

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City ATHENS
Zip Code 35611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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