Jennifer Lynn Deblois, RDN
Individual provider Active NPI Registered Dietitian · North Providence, RI
NPI 1093285751 · NPPES record last updated Nov 26, 2018
Key facts
- NPI
- 1093285751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LDN00979 (RI)
- Practice address
- 200 High Service Ave
North Providence, RI 02904-5113 - NPI assigned
- Nov 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN00979 | RI | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN00979 | RI | Yes |
Addresses
Primary practice location
200 High Service Ave
North Providence, RI 02904-5113
Mailing address
17 Hunters KNL
Smithfield, RI 02917-2569
Phone (401) 258-3076
Other providers in North Providence, RI
- Darlington Memory Lane
- David a. Carcieri, M.D. Inc.
- Nathaniel Davies
- Evan T Davis
- Peter F Deblasio Jr.
- Rachel Beth Deblois
- Michael Decastro
- Jared Richard Defond
- Jaime Deforest-Rosso
- Isabella Maria Degrasse
All providers in North Providence, RI · Registered Dietitian in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.