Jessica Lynn Devereaux in Wading River - Dietitian, Registered
Jessica Lynn Devereaux - NPI 1598894578
Jessica Lynn Devereaux is a Dietitian, Registered in Wading River, New York. Jessica Lynn Devereaux practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jessica Lynn Devereaux is 1598894578. The last update date is 2007-07-08.
Jessica Lynn Devereaux's current location address is 87 Great Rock Dr, Wading River, New York. You can contact this provider via phone number 6318861199. The mailing address for Jessica Lynn Devereaux is 87 Great Rock Dr, Wading River, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jessica Lynn Devereaux |
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Address | 87 Great Rock Dr, Wading River, New York |
Phone Number | 6318861199 |
Fax Number | |
Sole Proprietor | N |
Credentials | R.D. |
NPI Number Detail
NPI Number | 1598894578 |
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Provider Enumeration Date | 2007-03-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 87 Great Rock Dr |
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City | Wading River |
State | New York (NY) |
Post Code | 117921850 |
Phone Number | 6318861199 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dietitian, Registered |
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Taxonomy | 133V00000X |
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 10-digit identifier code issued to Jessica Lynn Devereaux by the Centers for Medicare & Medicaid Services?
The Jessica Lynn Devereaux has been assigned the NPI (National Provider Identifier) 1598894578 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jessica Lynn Devereaux?
The Jessica Lynn Devereaux is physically situated at 87 Great Rock Dr, in the city of Wading River, state of NY, with the postal code 117921850.
What is Jessica Lynn Devereaux's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jessica Lynn Devereaux is Dietitian, Registered, and the taxonomy code that categorizes this field of expertise is 133V00000X.
On what date did the Jessica Lynn Devereaux receive the assignment of its 1598894578 from the Centers for Medicare & Medicaid Services?
The Jessica Lynn Devereaux was issued its 1598894578 by the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date were the details related to Jessica Lynn Devereaux most recently updated or revised?
The information pertaining to Jessica Lynn Devereaux, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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