Doctor Name: | JANICE RIDDELL ABDELNOUR |
NPI Number: | 1043548431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D, C.D.E. |
License Number: | ND141 |
Business Practice Address: | 820 Prudential Dr Suite 416 Jacksonville, FL - 322078210 |
Business Phone Number: | 9042022140 |
Business Fax Number: | 9042022462 |
Mailing Address: | 820 Prudential Dr, Suite 416 JACKSONVILLE |
State: | FL |
Postal Code: | 322078210 |
Phone Number: | 9042022140 |
Fax Number: | 9042022462 |
NPI Enumeration Date: | 11/24/2009 |
NPI Last Update Date: | 11/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | ND141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |