Jennifer Lynn Stevens in Renton - Nutrition, Pediatric
Jennifer Lynn Stevens - NPI 1659460905
Jennifer Lynn Stevens is a Nutrition, Pediatric in Renton, Washington. Jennifer Lynn Stevens practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Jennifer Lynn Stevens is 1659460905. The last update date is 2007-07-08.
Jennifer Lynn Stevens's current location address is 17200 116th Ave Se, Renton, Washington. You can contact this provider via phone number 2069874339 and fax number 2069875087. The mailing address for Jennifer Lynn Stevens is 17200 116th Ave Se, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jennifer Lynn Stevens |
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Address | 17200 116th Ave Se, Renton, Washington |
Phone Number | 2069874339 |
Fax Number | 2069875087 |
Sole Proprietor | N |
Credentials | R.D., C.D. |
NPI Number Detail
NPI Number | 1659460905 |
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Provider Enumeration Date | 2006-10-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 17200 116th Ave Se |
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City | Renton |
State | Washington (WA) |
Post Code | 980589997 |
Phone Number | 2069874339 |
Fax Number | 2069875087 |
Provider's Primary Taxonomy Detail
Speciality | Nutrition, Pediatric |
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Taxonomy | 133Vn1004X |
Licence No | DI00000869 |
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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8261752 | WA | -- |
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What is the unique 10-digit identifier code issued to Jennifer Lynn Stevens by the Centers for Medicare & Medicaid Services?
The Jennifer Lynn Stevens has been assigned the NPI (National Provider Identifier) 1659460905 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jennifer Lynn Stevens located?
The Jennifer Lynn Stevens is located at 17200 116Th Ave Se, Renton, WA 980589997.
What is the area of specialization for Jennifer Lynn Stevens, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Lynn Stevens is Nutrition, Pediatric, and the corresponding taxonomy code that categorizes this area of expertise is 133Vn1004X.
On what date did the Jennifer Lynn Stevens receive its 1659460905 assignment from the Centers for Medicare & Medicaid Services?
The Jennifer Lynn Stevens was assigned its 1659460905 by the Centers for Medicare & Medicaid Services on 2006-10-12.
When was the information pertaining to Jennifer Lynn Stevens most recently updated or revised?
The details related to Jennifer Lynn Stevens, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.