IndividualActive
Jennifer Wilson, RD
NPI 1710104336 · Renal Nutrition Registered Dietitian · Richmond, VA
Provider details
- NPI number
- 1710104336
- Entity type
- Individual
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
Practice location
1250 E. Marshall Street
Clinical Nutrition
Richmond, VA 23298-0294
Phone: (804) 828-0970
Fax: (804) 628-0921
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 758997
Baltimore, MD 21275-0001
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.