Individual
JACQUELINE JARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE
Contact information
Practice address
961 MARCON BLVD STE 115, ALLENTOWN, PA 18109-9371
(610) 443-1885
(610) 443-1685
Mailing address
961 MARCON BLVD STE 115, ALLENTOWN, PA 18109-9371
(610) 443-1885
(610) 443-1685
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003573
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023924860001
—
PA
Enumeration date
10/17/2006
Last updated
05/13/2019
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