Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JACQUELINE IRENE MARLETTE-BORAS, R.D., LDN
ActiveNutrition, Education · LAUREL, MD
Registration Details
- NPI Number
- 1871719195
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2007 (19.052150223793 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
D00521 (MD)D00531 (MD)
Practice Information
- Address
-
8920 STEPHENS RDSUITE 200LAUREL, MD, 20723Browse MD providers · Browse ZIP 20723
- Phone
- 4109977778
- Fax
- 4109977669
- Primary Specialty
-
Nutrition, Education
133NN1002X
- Additional Specialty
- Registered Dietitian
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.