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NPI Code Detail

MEDICARE: JENNIFER ANN ALVEY-DZIERZYNSKI RD, LDN

MEDICARE:   JENNIFER ANN ALVEY-DZIERZYNSKI  RD, LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianLD006569GA
2133V00000XRegistered DietitianND-12083FL

General Provider Information

NPI Number : 1861835407
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ANN ALVEY-DZIERZYNSKI RD, LDN
Provider Business Mailing Address
First Line : 2872 ALASKAN WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-5847
Country : US
Telephone Number : 815-993-1080
Fax Number :
Provider Business Practice Location Address
First Line : 2872 ALASKAN WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-5847
Country : US
Telephone Number : 815-993-1080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2013
Last Update Date : 03/29/2024

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Directions to “ JENNIFER ANN ALVEY-DZIERZYNSKI RD, LDN” Practice Location

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