Provider Demographics
NPI:1629248687
Name:BARR, JENNIFER O'NEILL (MPH, RD, CDN, LDN)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:O'NEILL
Last Name:BARR
Suffix:
Gender:F
Credentials:MPH, RD, CDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 E. LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1460
Mailing Address - Country:US
Mailing Address - Phone:484-680-5366
Mailing Address - Fax:484-397-0310
Practice Address - Street 1:721 E LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2719
Practice Address - Country:US
Practice Address - Phone:484-680-5366
Practice Address - Fax:484-397-0310
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN003201133V00000X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
1629248687OtherNPI