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

Jean L Maxwell, MSRD

Individual provider Registered Dietitian · NPI 1609929108

Jean L Maxwell, MSRD is a Registered Dietitian OR Nutrition Professional in Norfolk, Virginia. Graduated from Brody School of Medicine at East Carolina University in 2007, 19 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
19
Trained at
Brody School of Medicine at East Carolina University
Licensed in
VA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

256 Portview Ave Apt B
Norfolk, VA 23503-1520
Phone: (757) 589-4293
Fax: (833) 740-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2800 Godwin Blvd, Suffolk, VA 23434-8038 — (757) 934-4559
  • 1112 Jensen Dr Ste 109, Virginia Beach, VA 23451-5883 — (757) 589-4293

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 959775 (VA)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1609929108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSRD
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address256 Portview Ave Apt B, Norfolk, VA 23503-1520

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Norfolk