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

Jessica Wallace, RDN, LDN

Individual provider Registered Dietitian · NPI 1679037949

Jessica Wallace, RDN, LDN is a Registered Dietitian in Bay Pines, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

10000 Bay Pines Blvd
Bay Pines, FL 33744-8200
Phone: (727) 398-6661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 7309 (FL)

Record details

NPI number1679037949
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN , LDN
Sole proprietorNo
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJanuary 30, 2019

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