Doctor Name: | MS. JENNIFER ANSIO HEADLEY-BUNNS |
NPI Number: | 1194980300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., L.D. |
License Number: | D00768 |
Business Practice Address: | 411 Kettering Dr Largo, MD - 207741522 |
Business Phone Number: | 3013366980 |
Business Fax Number: | 3018087964 |
Mailing Address: | 411 Kettering Dr, LARGO |
State: | MD |
Postal Code: | 207741522 |
Phone Number: | 3013366980 |
Fax Number: | 3018087964 |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D00768 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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 |