Individual
TEGAN BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDCES
Contact information
Practice address
3496 NW FEDERAL HWY, SUITE F, JENSEN BEACH, FL 34957-4441
(772) 223-4916
(772) 223-2887
Mailing address
407 COCONUT AVE E, PORT SAINT LUCIE, FL 34952-1328
(802) 376-8964
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND6894
FL
Other
Enumeration date
03/18/2015
Last updated
03/07/2026
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