Provider Demographics
NPI:1013459460
Name:MAYER, JENNIFER ELIZABETH (MS, RD)
Entity Type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:MAYER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1553 PLUMTREE DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4751
Mailing Address - Country:US
Mailing Address - Phone:760-803-6439
Mailing Address - Fax:
Practice Address - Street 1:1553 PLUMTREE DR
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4751
Practice Address - Country:US
Practice Address - Phone:760-803-6439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered