NPI 1093285751 · live from the CMS NPI Registry
Jennifer Lynn Deblois, RDN
Dietitian, Registered in North Providence, RI. National Provider Identifier 1093285751, active.
NPI record
| NPI | 1093285751 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 200 High Service Ave, North Providence, RI 02904 |
| Practice phone | — |
| Mailing address | 17 Hunters Knl, Smithfield, RI 02917 |
| Enumerated | November 26, 2018 |
| Last updated | November 26, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LDN00979 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.