Healthcare Provider Details

I. General information

NPI: 1336822378
Provider Name (Legal Business Name): JENNIFER L MUZZI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 BLUE HEN DR
NEWARK DE
19713-3406
US

IV. Provider business mailing address

90 BLUE HEN DR
NEWARK DE
19713-3406
US

V. Phone/Fax

Practice location:
  • Phone: 302-485-0702
  • Fax:
Mailing address:
  • Phone: 302-485-0702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN-0000581
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: