Department of Health
John J. Dreyzehner, MD, MPH, Commissioner
Board of Dietitians/Nutritionist Examiners
Applications
Applications
- Dietitian - Nutritionist Licensure Verification Form (PH-4129)
- Dietitian - Nutritionist Duplicate License Form (PH-4127)
- Name and Address Change Request
- Reinstatement Application
- Mandatory Practitioner Profile Questionnaire for Licensed Health Care Providers
- Affidavit of Retirement From Practice in Tennessee
- Licensure Application for Dietitian/Nutritionist Examiners
Noteworthy
Noteworthy
Governor Bill Haslam
