Jolan Su Mcninch, RD,LD is a
Dietitian, Registered based in Mangilao, Guam. Jolan Su Mcninch is licensed to practice in Guam (license number 05) and her current practice location is
3108 Greenpark Condo, Washington Drive, Mangilao, Guam. She can be reached at her office (for appointments etc.) via phone at
(671) 487-7206.
NPI number for Jolan Su Mcninch is 1033759865 and her current mailing address is Po Box 5224, Mangilao, Guam. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033759865.
Healthcare Provider's Profile
Full Name | Jolan Su Mcninch |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 3108 Greenpark Condo, Washington Drive, Mangilao, Guam |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033759865
- Provider Enumeration Date: 01/09/2020
- Last Update Date: 01/09/2020
Medical Identifiers
Medical identifiers for Jolan Su Mcninch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033759865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 05 (Guam) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jolan Su Mcninch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jolan Su Mcninch, RD,LD Po Box 5224, Mangilao, GU 96923-5224 Ph: (671) 487-7206 | Jolan Su Mcninch, RD,LD 3108 Greenpark Condo, Washington Drive, Mangilao, GU 96923-9692 Ph: (671) 487-7206 |
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