| Mrs Jennifer S Etherton, MS RD | |
|
3198 Pineview Ln, Metropolis, IL 62960-6600 | |
| (618) 524-5798 | |
| Not Available |
| Full Name | Mrs Jennifer S Etherton |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3198 Pineview Ln, Metropolis, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912109208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1188 (Kentucky) | Secondary |
| 133V00000X | Dietitian, Registered | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer S Etherton, MS RD 3198 Pineview Ln, Metropolis, IL 62960-6600 Ph: (618) 524-5798 | Mrs Jennifer S Etherton, MS RD 3198 Pineview Ln, Metropolis, IL 62960-6600 Ph: (618) 524-5798 |
Karla G Clark, RDN,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 28 Chick St, Metropolis, IL 62960 Phone: 618-524-2176 | |
Pamila Pace Ward, Dietitian Medicare: Medicare Enrolled Practice Location: 28 Chick St, Metropolis, IL 62960 Phone: 618-524-2176 Fax: 618-524-4131 |