Individual
MS. JENNIFER E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-2500
Mailing address
118 NORTHPORT AVE, P.O. BOX 287, BELFAST, ME 04915-6009
(207) 338-2500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI914
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI914
LICENSE
ME
Enumeration date
08/15/2007
Last updated
08/15/2007
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