IndividualActive
Jill Blasingame, DTR
NPI 1730925983 · Registered Dietetic Technician · Memphis, TN
Provider details
- NPI number
- 1730925983
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
- License
- 1092925 (TN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
116 N Pauline St
Memphis, TN 38104-1005
Phone: (901) 523-4952
Approximate (ZIP-level) locationGet directions
Mailing address
116 N Pauline St
Memphis, TN 38104-1005
Registry dates
- Enumerated
- 2024-07-08
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.