Provider Demographics
NPI:1902410939
Name:CARTAGINESE, JENA (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:JENA
Middle Name:
Last Name:CARTAGINESE
Suffix:
Gender:F
Credentials:MS, 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:PO BOX 2699
Mailing Address - Street 2:SHMG/HPE
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-416-1026
Mailing Address - Fax:850-416-6142
Practice Address - Street 1:5153 N 9TH AVE (PEDIATRIC OFFICE BUILDING)
Practice Address - Street 2:ATTN 5TH FLOOR NUTRITION
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8785
Practice Address - Country:US
Practice Address - Phone:850-416-1026
Practice Address - Fax:850-416-6142
Is Sole Proprietor?:No
Enumeration Date:2020-09-08
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND8456133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric