IndividualActive
Jillian Pate, MS, RD, CSR, LD
NPI 1245825223 · Renal Nutrition Registered Dietitian · Barboursville, WV
Provider details
- NPI number
- 1245825223
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSR, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 969 (WV)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1811 Coffman St
Barboursville, WV 25504-2023
Phone: (304) 617-4067
Approximate (ZIP-level) locationGet directions
Mailing address
1811 Coffman St
Barboursville, WV 25504-2023
Registry dates
- Enumerated
- 2021-03-02
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.