Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Rose, RD

Individual provider Registered Dietitian · NPI 1063052264

Jennifer Rose, RD is a Registered Dietitian in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone: (260) 426-5431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1606 Millennium Xing, Fort Wayne, IN 46845-9198 — (260) 341-6417

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 37001996A (IN)

Record details

NPI number1063052264
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJanuary 15, 2020
Certification dateJanuary 15, 2020
Mailing address1606 Millennium Xing, Fort Wayne, IN 46845-9198

Other providers in Fort Wayne