Jessica Lynn Edmonds, RDN | |
2920 Camarillo Ln, Virginia Beach, VA 23456-1558 | |
(904) 608-1068 | |
Not Available |
Full Name | Jessica Lynn Edmonds |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2920 Camarillo Ln, Virginia Beach, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043928864 | NPI | - | NPPES |
818706 | Other | CDR LICENSE |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Beach Life Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053029710 PECOS PAC ID: 1658742846 Enrollment ID: O20230126001119 |
Mailing Address | Practice Location Address |
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Jessica Lynn Edmonds, RDN 2920 Camarillo Ln, Virginia Beach, VA 23456-1558 Ph: () - | Jessica Lynn Edmonds, RDN 2920 Camarillo Ln, Virginia Beach, VA 23456-1558 Ph: (904) 608-1068 |
Michelle Lee Hornsby, MS RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 216 57th St Apt B, Virginia Beach, VA 23451 Phone: 540-560-4772 | |
Mrs. Sally Stephens Logan, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1732 Buckley Arch, Virginia Beach, VA 23453 Phone: 757-430-8256 | |
Sabrina Cullison, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1079 Independence Blvd, Virginia Beach, VA 23455 Phone: 757-749-0125 | |
Brittany Sharp Bailey, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5757 Accomac Sq, Virginia Beach, VA 23455 Phone: 931-797-5498 Fax: 183-345-6912 | |
Brianna Frutchey, RD Dietitian Medicare: May Accept Medicare Assignments Practice Location: 848 First Colonial Rd Ste B, Virginia Beach, VA 23451 Phone: 757-422-4728 | |
Hailey Beaudry, PA-C, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1550 Tomcat Blvd, Virginia Beach, VA 23460 Phone: 757-953-9915 |