National Provider Identifier
Jennifer Haefele, RDN
Jennifer Haefele, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Penfield, NY and a listed phone number of (585) 991-8267.
Profile Overview
- NPI
- 1205460466
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- February 26, 2020
- Last Updated
- February 26, 2020
Practice Location
- 247 Penbrooke Dr
- Penfield, NY 14526-2021
Phone: (585) 991-8267
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1205460466
- Entity Type
- Individual
- Last Name
- Haefele
- First Name
- Jennifer
- Credential
- RDN
- Provider Other Last Name
- Everdyke
- Provider Other First Name
- Jennifer
- Provider Other Credential Text
- RD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 247 Penbrooke Dr
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2021
- Mailing Country
- US
- Mailing Phone
- (585) 991-8267
- Practice Street Address
- 247 Penbrooke Dr
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-2021
- Practice Country
- US
- Practice Phone
- (585) 991-8267
- Enumeration Date
- February 26, 2020
- Last Updated
- February 26, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 26, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)