IndividualActive
Jennifer Wortman
NPI 1366215121 · Pediatric Nutrition Registered Dietitian · Ann Arbor, MI
Provider details
- NPI number
- 1366215121
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
203 Beakes St Apt 4
Ann Arbor, MI 48104-1060
Phone: (734) 585-6733
Approximate (ZIP-level) locationGet directions
Mailing address
203 Beakes St Apt 4
Ann Arbor, MI 48104-1060
Registry dates
- Enumerated
- 2023-11-03
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.