William Sean Devlin, Ms, RDN, LDN
Dietitian, Registered, Nutrition, Renal in Jacksonville, FL. Individual provider (NPI-1).
NPI number1003674532
StatusActive
Last updated in NPPESMar 11, 2024
Details
- NPI
- 1003674532
- Entity type
- Individual (NPI-1)
- Name
- William Sean Devlin
- Credential
- Ms, RDN, LDN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2024
- Certification date
- Mar 9, 2024
- Last updated
- Mar 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1005X | Dietitian, Registered, Nutrition, Renal | 86056307 | FL | Yes |
Practice location
4019 Habana AveJacksonville, FL 32217-4036
Phone 904-657-9979
Mailing address
4019 Habana AveJacksonville, FL 32217-4036
Phone 904-657-9979
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