Healthcare Provider Details

I. General information

NPI: 1760965214
Provider Name (Legal Business Name): FRANCES SIVER MS, RDN, LDN, IFNCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2018
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 OSCEOLA AVE
JACKSONVILLE BEACH FL
32250-4030
US

IV. Provider business mailing address

829 E DOTY BRANCH LN
SAINT JOHNS FL
32259-5474
US

V. Phone/Fax

Practice location:
  • Phone: 904-562-0082
  • Fax:
Mailing address:
  • Phone: 904-562-0082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberND7102
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: