Provider Demographics
NPI:1699914853
Name:TROUPE, JENNIFER H (MS, RD, CDE)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:H
Last Name:TROUPE
Suffix:
Gender:F
Credentials:MS, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W BROADWAY ST
Mailing Address - Street 2:DIABETES CARE AND PREVENTION PROGRAM
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4008
Mailing Address - Country:US
Mailing Address - Phone:406-329-2654
Mailing Address - Fax:406-329-2991
Practice Address - Street 1:500 W BROADWAY ST
Practice Address - Street 2:DIABETES CARE AND PREVENTION PROGRAM
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4008
Practice Address - Country:US
Practice Address - Phone:406-329-2654
Practice Address - Fax:406-329-2991
Is Sole Proprietor?:No
Enumeration Date:2009-02-11
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT376133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered