Mrs Jacqueline R Ambrose, MA, RD, ADCES is a
Dietitian, Registered based in Tappahannock, Virginia. Mrs Jacqueline R Ambrose is licensed to practice in Virginia (license number 911825) and her current practice location is
618 Hospital Rd, Tappahannock, Virginia. She can be reached at her office (for appointments etc.) via phone at
(804) 443-6179.
NPI number for Mrs Jacqueline R Ambrose is 1629600523 and her current mailing address is Po Box 566, Aylett, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629600523.
Healthcare Provider's Profile
Full Name | Mrs Jacqueline R Ambrose |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 618 Hospital Rd, Tappahannock, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629600523
- Provider Enumeration Date: 02/08/2020
- Last Update Date: 02/08/2020
Medical Identifiers
Medical identifiers for Mrs Jacqueline R Ambrose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629600523 | NPI | - | NPPES |
20810009 | Other | | ASSOCIATION OF DIABETES CARE & EDUCATION SPECIALIST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 911825 (Virginia) | 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. Mrs Jacqueline R Ambrose 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 |
Mrs Jacqueline R Ambrose, MA, RD, ADCES Po Box 566, Aylett, VA 23009-0566 Ph: (804) 314-0409 | Mrs Jacqueline R Ambrose, MA, RD, ADCES 618 Hospital Rd, Tappahannock, VA 22560-5000 Ph: (804) 443-6179 |
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