Individual provider · Type 1 NPI

Jenna Bannon, MS, RD, CDN

Registered Dietitian · Bay Shore, NY

NPI number 1003157546 Active

Practice location

301 E Main St
Bay Shore, NY 11706-8408

Mailing address

202 Cassa Loop
Holtsville, NY 11742-2609

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X0074641 (NY)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1003157546

Jenna Bannon, MS, RD, CDN's National Provider Identifier is 1003157546, issued on Mar 8, 2013. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Bay Shore, NY. The record was last updated on Mar 8, 2013.