IndividualActive
Alicia Jennerjohn
NPI 1780073320 · Registered Dietitian · Appleton, WI
Provider details
- NPI number
- 1780073320
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1087448 (WI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3416 N Association Dr
Appleton, WI 54914-1479
Phone: (920) 243-1792
Approximate (ZIP-level) locationGet directions
Mailing address
3416 N Association Dr
Appleton, WI 54914-1479
Registry dates
- Enumerated
- 2015-01-20
- Last updated
- 2015-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.