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Individual

MS. JENNIFER OPPENHEIM PASCHALOUDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
11200 GALLERIA AVE, RALEIGH, NC 27614-8137
(919) 784-3419
(919) 784-3094
Mailing address
4200 LAKE BOONE TRL, REX NUTRITION SERVICES, RALEIGH, NC 27607-6521
(919) 784-1371
(919) 784-1397

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L002183
NC
133V00000X
Registered Dietitian
Primary
L002183
NC
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q40914A
MEDICARE PTAN
NC
01
Q40914E853
MEDICARE PTAN
NC
Enumeration date
03/10/2011
Last updated
04/02/2026
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