Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER ANN DEBERDT, RD
ActivePediatric Nutrition · MARTINEZ, CA
Registration Details
- NPI Number
- 1750944781
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2019 (7.0205830297261 yrs)
- Last Updated
- Apr 16, 2019
- License
-
1053751 (CA)
Practice Information
- Address
-
2500 ALHAMBRA AVEMARTINEZ, CA, 945533156Browse CA providers · Browse ZIP 94553
- Phone
- 9253705000
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
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.