Individual
HEATHER JEAN STABLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
790 VETERANS WAY, PENSACOLA, FL 32507-1000
(850) 912-2098
Mailing address
1416 DUNHURST DR, PENSACOLA, FL 32534-5308
(850) 418-4548
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ND5018
—
FL
Enumeration date
06/19/2020
Last updated
06/19/2020
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