Farrell, Jeanne

Farrell, Jeanne is an sole proprietor health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Farrell, Jeanne can be contacted via phone (727) 767-8419.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (727) 767-8419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X ND1271 Florida

Profile Details

NPI number 1306249578
LBN Legal business name Farrell, Jeanne
Credentials RD, CNSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2014
Last updated Oct 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306249578 NPPES
Florida MEDICAID 652804

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