Ms. Leanna R Clark, RDN
Dietitian, Registered in Brick, New Jersey
1003505769- Practice location
- 321 Herbertsville Road, First Floor, Brick, NJ 08724
- Phone
- 732-709-7730
- Fax
- —
- Last updated
- May 8, 2023
Leanna Renee Clark is a Dietitian, Registered based in Brick, NJ. Leanna Renee Clark practices in Brick, NJ and has the professional credentials of RDN. The NPI Number for Leanna Renee Clark is 1003505769 and holds a License No. 86116322 (NJ). The current practice location address for Leanna Renee Clark is 321 Herbertsville Road, First Floor, Brick, NJ 08724 and can be reached out via phone at 732-709-7730.
Provider Profile Details
- NPI Number
- 1003505769
- Provider Name
- Leanna Renee Clark
- Credential
- RDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 321 Herbertsville Road, First Floor, Brick, NJ 08724
- Phone Number
- 732-709-7730
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 8, 2023
- Last Update Date
- May 8, 2023
- Certification Date
- May 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 321 Herbertsville Road, First Floor
Brick, NJ 08724 - City
- Brick
- State
- New Jersey
- Zip
- 08724
- Phone Number
- 732-709-7730
Provider Business Mailing Address Details
- Address
- 912 Park Place
Red Bank, NJ 07701 - City
- Red Bank
- State
- NJ
- Zip
- 07701
- Phone Number
- 908-675-3316
License Information
- License Number
- 86116322
- License State
- NJ
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Brick, NJ
View all Dietitian, Registered providers in Brick →- Alexandria CarusoDietitian, Registered · NPI 1750281275
- Ann ZappullaDietitian, Registered · NPI 1548727605
- Anthony Dissen, RDNDietitian, Registered · NPI 1508553124
- Ellen K Ransegnola, RDDietitian, Registered · NPI 1164329777
- Mrs. Lorine M Lightbody, RDDietitian, Registered · NPI 1306084827
- Mrs. Melissa C Kirchner, RDDietitian, Registered · NPI 1952944845
Frequently Asked Questions
What is the NPI number of Ms. Leanna R Clark, RDN?
The NPI number of Ms. Leanna R Clark, RDN is 1003505769. It was assigned on May 8, 2023 and is currently active in the NPPES registry.
What is the specialty of Ms. Leanna R Clark, RDN?
Ms. Leanna R Clark, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in NJ under license number 86116322.
Where does Ms. Leanna R Clark, RDN practice?
The practice location is 321 Herbertsville Road, First Floor, Brick, NJ 08724. The office can be reached at 732-709-7730 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003505769 directly on the NPPES registry website.