National Provider Identifier

Jacquelyn Anderson, RD, CDN

Jacquelyn Anderson, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 862-1984.

NPI 1982006375Buffalo, NYRegistered Dietitian

Profile Overview

NPI
1982006375
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
September 17, 2014
Last Updated
May 21, 2019

Practice Location

  • 2157 Main St
  • Buffalo, NY 14214-2648

Phone: (716) 862-1984

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1982006375
Entity Type
Individual
Last Name
Anderson
First Name
Jacquelyn
Credential
RD, CDN
Provider Other Last Name
Almonte
Provider Other First Name
Jacquelyn
Provider Other Credential Text
RDN, CDN
Provider Other Last Name Type Code
1
Mailing Street Address
2157 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2648
Mailing Country
US
Practice Street Address
2157 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2648
Practice Country
US
Practice Phone
(716) 862-1984
Practice Fax
(716) 862-1228
Enumeration Date
September 17, 2014
Last Updated
May 21, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)