Provider Demographics
NPI:1326483926
Name:VOLPE, JENNA (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:JENNA
Middle Name:
Last Name:VOLPE
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 FURNACE BROOK PKWY
Mailing Address - Street 2:SUITE 404
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4758
Mailing Address - Country:US
Mailing Address - Phone:781-864-4285
Mailing Address - Fax:
Practice Address - Street 1:1266 FURNACE BROOK PKWY
Practice Address - Street 2:SUITE 404
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4758
Practice Address - Country:US
Practice Address - Phone:781-864-4285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2014-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3475133N00000X
MA1073202133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1760883631OtherWHOLE-ISTIC LIVING, LLC
MA1851686455OtherBEHAVIORAL NUTRITION