Provider Demographics
NPI:1285967380
Name:RHODES, JANET MARIE (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARIE
Last Name:RHODES
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1966 HIGHWAY 371 W
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-7584
Mailing Address - Country:US
Mailing Address - Phone:870-845-9986
Mailing Address - Fax:
Practice Address - Street 1:1966 HIGHWAY 371 W
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-7584
Practice Address - Country:US
Practice Address - Phone:870-845-9986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR208133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered