Doctor Name: | JENNIFER LEE MACDONALD |
NPI Number: | 1114221769 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSRD |
License Number: | 3120 |
Business Practice Address: | 1400 Vfw Pkwy West Roxbury, MA - 021324927 |
Business Phone Number: | 6173236783 |
Business Fax Number: | |
Mailing Address: | 320 Sylvan Ln, MANCHESTER |
State: | NH |
Postal Code: | 031028420 |
Phone Number: | 6034949310 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2010 |
NPI Last Update Date: | 03/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 3120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |