Jacquelyn Susan Walther
Jacquelyn Susan Walther is a Registered Dietitian OR Nutrition Professional in Barnegat, New Jersey. Qualified in 2018, 8 years ago. Practices as a sole proprietor.
- Years since qualifying
- 8
- In the registry since
- 2022
Practice location Address checks out
1 Fresno StBarnegat, NJ 08005-2509
Phone: (540) 878-6895
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X |
|---|
Record details
| NPI number | 1700596129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 28, 2022 |
| Last updated in NPPES | November 28, 2022 |
| Certification date | November 26, 2022 |
| Mailing address | 1 Fresno St, Barnegat, NJ 08005-2509 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |