Provider Demographics
NPI:1700560729
Name:ABRAMS, JADE ALEXIS (RD, LD/N)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:ALEXIS
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19201 DOVE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-3005
Mailing Address - Country:US
Mailing Address - Phone:239-288-8513
Mailing Address - Fax:888-676-0527
Practice Address - Street 1:18800 US 301
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33523-6978
Practice Address - Country:US
Practice Address - Phone:239-288-8513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2025-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered