Provider Demographics
NPI:1063395051
Name:WHITE, JENNIFER SNOW (MS, RDN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SNOW
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 HAMMER DR
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-2809
Mailing Address - Country:US
Mailing Address - Phone:937-336-3395
Mailing Address - Fax:
Practice Address - Street 1:40 HAMMER DR
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-2809
Practice Address - Country:US
Practice Address - Phone:937-336-3395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered