Jaclyn Quinlan, MPH RD LDN
Dietitian, Registered in Waltham, Massachusetts
1013685601- Practice location
- 52 Second Ave Ste 340, Waltham, MA 02451-1133
- Phone
- 781-466-8967
- Fax
- 781-466-8987
- Last updated
- August 31, 2021
Jaclyn Quinlan is a Dietitian, Registered based in Waltham, MA. Jaclyn Quinlan practices in Waltham, MA and has the professional credentials of MPH RD LDN. The NPI Number for Jaclyn Quinlan is 1013685601 and holds a License No. 4838 (MA). The current practice location address for Jaclyn Quinlan is 52 Second Ave Ste 340, Waltham, MA 02451-1133 and can be reached out via phone at 781-466-8967 and via fax at 781-466-8987.
Provider Profile Details
- NPI Number
- 1013685601
- Provider Name
- Jaclyn Quinlan
- Credential
- MPH RD LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 52 Second Ave Ste 340, Waltham, MA 02451-1133
- Phone Number
- 781-466-8967
- Fax Number
- 781-466-8987
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2021
- Last Update Date
- August 31, 2021
- Certification Date
- August 31, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 52 Second Ave Ste 340
Waltham, MA 02451-1133 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451-1133
- Phone Number
- 781-466-8967
- Fax Number
- 781-466-8987
Provider Business Mailing Address Details
- Address
- 3 Danforth Ave
Woburn, MA 01801-1701 - City
- Woburn
- State
- MA
- Zip
- 01801-1701
- Phone Number
- 781-572-0952
License Information
- License Number
- 4838
- License State
- MA
- 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. | |||
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- Jenifer La, RD, LDNDietitian, Registered · NPI 1477175131
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Frequently Asked Questions
What is the NPI number of Jaclyn Quinlan, MPH RD LDN?
The NPI number of Jaclyn Quinlan, MPH RD LDN is 1013685601. It was assigned on August 31, 2021 and is currently active in the NPPES registry.
What is the specialty of Jaclyn Quinlan, MPH RD LDN?
Jaclyn Quinlan, MPH RD LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 4838.
Where does Jaclyn Quinlan, MPH RD LDN practice?
The practice location is 52 Second Ave Ste 340, Waltham, MA 02451-1133. The office can be reached at 781-466-8967 (phone) or 781-466-8987 (fax).
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 1013685601 directly on the NPPES registry website.