Provider Demographics
NPI:1376156398
Name:SCHIRRA, TAYLOR JESSICA (RDN)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:JESSICA
Last Name:SCHIRRA
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12015 ROSE DR
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9546
Mailing Address - Country:US
Mailing Address - Phone:570-903-4626
Mailing Address - Fax:
Practice Address - Street 1:619 E DRINKER ST UNIT 2
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-2562
Practice Address - Country:US
Practice Address - Phone:570-520-2400
Practice Address - Fax:570-520-2500
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered