| Jean L Maxwell, MS RD | |
|
256 Portview Ave Apt B, Norfolk, VA 23503-1520 | |
| (757) 589-4293 | |
| (833) 740-4130 |
| Full Name | Jean L Maxwell |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 256 Portview Ave Apt B, Norfolk, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609929108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 959775 (Virginia) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| Provider Name | Maxwell Nutrition |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063138808 PECOS PAC ID: 4183096795 Enrollment ID: O20230208001190 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean L Maxwell, MS RD 256 Portview Ave Apt B, Norfolk, VA 23503-1520 Ph: (757) 589-4293 | Jean L Maxwell, MS RD 256 Portview Ave Apt B, Norfolk, VA 23503-1520 Ph: (757) 589-4293 |
Anna Shannon, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1506 Colonial Ave, Apt 1, Norfolk, VA 23517 Phone: 757-784-8927 | |
Susan M Zoll, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-4726 Fax: 757-889-5399 | |
Eileen Coffman, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-9723 Fax: 757-668-9724 | |
Marilou Colgan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-4139 Fax: 757-889-5399 | |
Jennifer Marie Gibson, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1720 Ashland Ave, Norfolk, VA 23509 Phone: 757-706-0266 | |
Judy A O'neill-heidenthal, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 150 Kingsley Ln, Norfolk, VA 23505 Phone: 757-889-4520 Fax: 757-889-5399 | |
Kristen Jeanne Spanik, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-9558 Fax: 757-668-7915 |