Jennifer N Back, RD, CDE
Dietitian, Registered in Groton, Connecticut
1770719973- Practice location
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone
- 860-694-5212
- Fax
- —
- Last updated
- January 7, 2025
Jennifer N Back is a Dietitian, Registered based in Groton, CT. Jennifer N Back practices in Groton, CT and has the professional credentials of RD, CDE. The NPI Number for Jennifer N Back is 1770719973 and holds a License No. 000670 (CT). The current practice location address for Jennifer N Back is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 860-694-5212.
Provider Profile Details
- NPI Number
- 1770719973
- Provider Name
- Jennifer N Back
- Credential
- RD, CDE
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone Number
- 860-694-5212
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Other Names
- -- Jennifer Neilson, RD, CDE (Former Name)
- Provider Enumeration Date
- June 3, 2009
- Last Update Date
- January 7, 2025
- Certification Date
- January 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- Connecticut
- Zip
- 06349-2324
- Phone Number
- 860-694-5212
Provider Business Mailing Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- CT
- Zip
- 06349-2324
- Phone Number
- 860-694-5212
License Information
- License Number
- 000670
- License State
- CT
- 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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Frequently Asked Questions
What is the NPI number of Jennifer N Back, RD, CDE?
The NPI number of Jennifer N Back, RD, CDE is 1770719973. It was assigned on June 3, 2009 and is currently active in the NPPES registry.
What is the specialty of Jennifer N Back, RD, CDE?
Jennifer N Back, RD, CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000670.
Where does Jennifer N Back, RD, CDE practice?
The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 860-694-5212 (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 1770719973 directly on the NPPES registry website.