Mary Beth Pennington in Jacksonville - Dietitian, Registered
Mary Beth Pennington - NPI 1639141336
Mary Beth Pennington is a Dietitian, Registered in Jacksonville, Florida. Mary Beth Pennington practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary Beth Pennington is 1639141336. The last update date is 2007-07-08.
Mary Beth Pennington's current location address is 2080 Child St, Jacksonville, Florida. You can contact this provider via phone number 9125734731 and fax number 9125734229. The mailing address for Mary Beth Pennington is 2080 Child St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mary Beth Pennington |
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Address | 2080 Child St, Jacksonville, Florida |
Phone Number | 9125734731 |
Fax Number | 9125734229 |
Sole Proprietor | X |
Credentials | RD,LD/N |
NPI Number Detail
NPI Number | 1639141336 |
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Provider Enumeration Date | 2006-02-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2080 Child St |
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City | Jacksonville |
State | Florida (FL) |
Post Code | 322145005 |
Phone Number | 9125734731 |
Fax Number | 9125734229 |
Provider's Primary Taxonomy Detail
Speciality | Dietitian, Registered |
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Taxonomy | 133V00000X |
Licence No | ND2733 |
Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identifier code issued to Mary Beth Pennington by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Beth Pennington has been assigned the NPI (National Provider Identifier) 1639141336. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mary Beth Pennington?
The Mary Beth Pennington is situated at 2080 Child St, in the city of Jacksonville, state of FL, with the zip code 322145005.
What is Mary Beth Pennington's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mary Beth Pennington is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1639141336 to Mary Beth Pennington?
The Mary Beth Pennington received its 1639141336 assignment from the Centers for Medicare & Medicaid Services on 2006-02-06.
When was the information regarding Mary Beth Pennington, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Beth Pennington, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.