Jennison, Katherine M

Jennison, Katherine M is an sole proprietor health care provider with primary practice located at 400 Health Park Blvd , St Augustine FL 32086-5784. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jennison, Katherine M can be contacted via phone (904) 819-4404.

Contact Information

Primary practice address
400 Health Park Blvd St Augustine FL 32086-5784
Phone: (904) 819-4404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND5590 Florida

Profile Details

NPI number 1144422700
LBN Legal business name Jennison, Katherine M
Credentials RD LDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2007
Last updated May 19th, 2011 - about 13 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.

Request for update

Popular Providers