Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn Davis

Individual provider Registered Dietitian · NPI 1023669439

Jacquelyn Davis is a Registered Dietitian OR Nutrition Professional in Bridgeport, Connecticut. Qualified in 2017, 9 years ago. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2019

Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2805
Phone: (203) 384-4553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1723 (CT)

Record details

NPI number1023669439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2019
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address267 Grant St, Bridgeport, CT 06610-2805

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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