Jenna Taylor Braddock in Saint Augustine - Dietitian, Registered
Jenna Taylor Braddock - NPI 1326242520
Jenna Taylor Braddock is a Dietitian, Registered in Saint Augustine, Florida. Jenna Taylor Braddock practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jenna Taylor Braddock is 1326242520. The last update date is 2007-07-08.
Jenna Taylor Braddock's current location address is 947 Scrub Jay Dr, Saint Augustine, Florida. You can contact this provider via phone number 9048100368. The mailing address for Jenna Taylor Braddock is 947 Scrub Jay Dr, Saint Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jenna Taylor Braddock |
|---|---|
| Address | 947 Scrub Jay Dr, Saint Augustine, Florida |
| Phone Number | 9048100368 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD, LDN |
NPI Number Detail
| NPI Number | 1326242520 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 947 Scrub Jay Dr |
|---|---|
| City | Saint Augustine |
| State | Florida (FL) |
| Post Code | 320921759 |
| Phone Number | 9048100368 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | ND 4851 |
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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 identification code assigned to Jenna Taylor Braddock by the Centers for Medicare & Medicaid Services?
The Jenna Taylor Braddock has been issued the NPI (National Provider Identifier) 1326242520. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jenna Taylor Braddock is physically located?
The Jenna Taylor Braddock is physically situated at the following address: 947 Scrub Jay Dr, Saint Augustine, FL, 320921759.
What is Jenna Taylor Braddock's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jenna Taylor Braddock is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326242520 to Jenna Taylor Braddock?
The Jenna Taylor Braddock received its 1326242520 assignment from the Centers for Medicare & Medicaid Services on 2007-06-12.
When was the information regarding Jenna Taylor Braddock most recently updated?
The details pertaining to the Jenna Taylor Braddock, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.