IndividualActive
Jerry Mayo, PHD, RDN
NPI 1083239115 · Obesity and Weight Management Nutrition Registered Dietitian · Conway, AR
Provider details
- NPI number
- 1083239115
- Entity type
- Individual
- Primary specialty
- Obesity and Weight Management Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- PHD, RDN
- Sex
- Male
- Sole proprietor
- No
Mailing address
1060 Applewood Dr
Conway, AR 72034-3538
Registry dates
- Enumerated
- 2020-06-15
- Last updated
- 2020-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.