Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA WALLACE, RDN, LDN
ActiveJESSICA WALLACE, RDN, LDN is a Registered Dietitian healthcare provider located in BAY PINES, Florida. NPI 1679037949 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · BAY PINES, FL
Registration Details
- NPI Number
- 1679037949
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2019 (7.5301405214431 yrs)
- Last Updated
- Jan 30, 2019
- License
-
7309 (FL)
Practice Information
- Address
-
10000 BAY PINES BLVDBAY PINES, FL, 337448200Browse FL providers · Browse ZIP 33744
- Phone
- 7273986661
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in BAY PINES, FL
| Name | Credential | NPI |
|---|---|---|
| KATHERINE MALOOF SELEY | RD,LD | 1174560957 |
| MS. MILA MADJAREV | M.S., R.D. | 1376583583 |
| SHARON HICKMAN | RD | 1790725901 |
| MRS. MARY ELLEN SMITH | RD | 1083655732 |
| COLLEEN MARIE SHUSHTARI | R.D.,L.D. | 1407898612 |
| REBECCA G SCHAFER | R.D., C.D.E. | 1912936550 |
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.