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Contact Information

JEANNE FARRELL, RD, CNSC
501 6TH AVE S
SAINT PETERSBURG, FL33701-4634
 Phone: 727-767-8419
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JEANNE FARRELL · (Female)

NPI # 1306249578
Status Active
Credentials RD, CNSC
Entity Individual
Enumeration date 10/02/2014
Last updated 10/03/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ND1271
  • FL Medicaid 652804
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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