Jacqueline Avants, RD

Individual provider Active NPI Registered Dietitian · Exeter, NH

NPI 1700424504 · NPPES record last updated Dec 12, 2019

Key facts

NPI
1700424504
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1008 (NH)
Practice address
38 Portsmouth Ave
Exeter, NH 03833-2106
Phone
(603) 580-4476
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1008 NH Yes

Addresses

Primary practice location

38 Portsmouth Ave
Exeter, NH 03833-2106

Mailing address

23 Taylor St
Hampton, NH 03842-1417
Phone (201) 970-1843

Other providers in Exeter, NH

All providers in Exeter, NH · Registered Dietitian in New Hampshire

Sources for this page

Verify at the official NPI Registry.