IndividualActive
Jillian Willard
NPI 1790366763 · Nutritionist · Charlotte, NC
Provider details
- NPI number
- 1790366763
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
6633 Fairview Rd
Charlotte, NC 28210-3321
Phone: (704) 366-1264
Approximate (ZIP-level) locationGet directions
Mailing address
204 Black Mountain Dr
Fort Mill, SC 29708-6527
Registry dates
- Enumerated
- 2021-04-20
- Last updated
- 2021-04-20
- Certified
- 2021-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.