Individual
JILL TYLER MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD/N
Contact information
Practice address
2344 3RD ST S, JACKSONVILLE BEACH, FL 32250-4023
(904) 874-5576
(904) 513-9268
Mailing address
2344 3RD ST S, JACKSONVILLE BEACH, FL 32250-4023
(904) 874-5576
(904) 513-9268
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4745
FL
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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