Provider Demographics
NPI:1508221581
Name:JARRETT, SABRINA DANIELA (MS,RD,CSR,LDN,CHC)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:DANIELA
Last Name:JARRETT
Suffix:
Gender:F
Credentials:MS,RD,CSR,LDN,CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3383 CELENA CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-5911
Mailing Address - Country:US
Mailing Address - Phone:718-704-3263
Mailing Address - Fax:
Practice Address - Street 1:3383 CELENA CIR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-5911
Practice Address - Country:US
Practice Address - Phone:407-572-6437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND6936133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered