Provider Demographics
NPI:1629728738
Name:BENDAVID, JACQUELYN (ND)
Entity type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:
Last Name:BENDAVID
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 SAINT PAUL ST STE 324
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-9826
Mailing Address - Country:US
Mailing Address - Phone:802-881-0424
Mailing Address - Fax:
Practice Address - Street 1:305 SAINT PAUL ST STE 324
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-9826
Practice Address - Country:US
Practice Address - Phone:802-881-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0134170175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath