Catherine Wallace
Registered Dietitian · Jacksonville Beach, FL
Practice location
1320 Roberts DrJacksonville Beach, FL 32250-3253
- Phone
- (904) 477-9882
NPI record
- NPI
- 1477244077
- Entity type
- Individual (Type 1)
- Enumeration date
- May 16, 2023
- Last updated
- May 16, 2023
- Certified
- May 16, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Dietitian Primary | 133V00000X |
ND4727 | FL |
Mailing address
709 4TH Ave NJacksonville Beach, FL 32250-4527
- Phone
- (904) 477-9882
About Catherine Wallace
Catherine Wallace is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 1320 Roberts Dr, Jacksonville Beach, FL 32250-3253. The NPI number 1477244077 was assigned on May 16, 2023 and the record was last updated on May 16, 2023.
Catherine Wallace lists a license in the registry: #ND4727 (FL) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Catherine Wallace?
The NPI number is 1477244077.
What is the phone number of Catherine Wallace?
The phone number listed for the practice location is (904) 477-9882.
Where is Catherine Wallace located?
1320 Roberts Dr, Jacksonville Beach, FL 32250-3253.
What is the taxonomy code for Catherine Wallace?
The primary taxonomy code is 133V00000X – Registered Dietitian.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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