Provider Demographics
NPI:1801968003
Name:GREENE, JANE H (RD, CSR, LDN)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:H
Last Name:GREENE
Suffix:
Gender:F
Credentials:RD, CSR, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B 802 THE VANDERBILT CLINIC
Mailing Address - Street 2:1301 22ND AVE. SOUTH
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-343-2385
Mailing Address - Fax:615-343-8216
Practice Address - Street 1:B 802 THE VANDERBILT CLINIC
Practice Address - Street 2:1301 22ND AVE. SOUTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-343-2385
Practice Address - Fax:615-343-8216
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000000348133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal