Search › Illinois › 133V00000X
Jeni Tackett, RD
NPI 1366819690 · on the registry since 2015
Practice
- Address
- 3928 172nd St N
East Moline, IL 61244 - Phone
- (309) 230-9517
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133V00000X
- Licence states on file
- IL, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois