IndividualActive
Jonathan Smith
NPI 1215401112 · Nutritionist · Memphis, TN
Provider details
- NPI number
- 1215401112
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
4112 Shirley Dr
Memphis, TN 38109-4600
Registry dates
- Enumerated
- 2019-01-15
- Last updated
- 2019-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.