OrganizationActive
West Jefferson Physician Services
NPI 1780015784 · Nutritionist · Marrero, LA
Provider details
- NPI number
- 1780015784
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Angela Greener, Chief Administrative Officer(504) 349-6021
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1121 Medical Center Blvd.
West Jefferson Fitness Center
Marrero, LA 70072
Phone: (504) 348-0055
Fax: (504) 347-4267
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Medical Center Blvd.
Marrero, LA 70072
Other names (DBA / former)
- Other name
- West Jefferson Diabetes Prevention Program
Registry dates
- Enumerated
- 2013-12-02
- Last updated
- 2013-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.