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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEROME FOSAAEN, RD, LD/N

Active Sole Proprietor

JEROME FOSAAEN, RD, LD/N is a Registered Dietitian healthcare provider located in SAINT AUGUSTINE, Florida. NPI 1265830343 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · SAINT AUGUSTINE, FL

Registration Details

NPI Number
1265830343
Provider Type
Individual
Gender
Male
NPI Issued
Dec 5, 2014 (11.650368705492 yrs)
Last Updated
Dec 5, 2014
License
ND4527 (FL)
Sole Proprietor
Yes

Practice Information

Address
1605 SANTA MARIE CT
SAINT AUGUSTINE, FL, 320805478
Browse FL providers · Browse ZIP 32080
Phone
9044177344
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in SAINT AUGUSTINE, FL

Name Credential NPI
MS. KAREN ELAINE DUFFY REGISTERED DIETITIAN 1154303030
MICHELLE MEIS RD 1043697014
SAMANTHA BOLTON RD 1447125109
KELLY QUINN BROZOWSKI RDN 1356209498
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.