Provider Demographics
NPI:1811530108
Name:TAYLOR, JANINE HARPER (RDN)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:HARPER
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8224 CHAINMAILE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-5502
Mailing Address - Country:US
Mailing Address - Phone:804-349-8883
Mailing Address - Fax:
Practice Address - Street 1:8224 CHAINMAILE RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-5502
Practice Address - Country:US
Practice Address - Phone:804-349-8883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-19
Last Update Date:2019-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered