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Kristina Worthington, MSH, RD, CSSD, LD/N

Dietitian, Registered, Nutrition, Sports Dietetics in Jacksonville, FL. Individual provider (NPI-1).

NPI number1407494875
StatusActive
Last updated in NPPESDec 17, 2019

Details

NPI
1407494875
Entity type
Individual (NPI-1)
Name
Kristina Worthington
Credential
MSH, RD, CSSD, LD/N
Sex
Female
Sole proprietor
No
Enumeration date
Dec 17, 2019
Certification date
Dec 17, 2019
Last updated
Dec 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics4383FLYes
133NN1002X Nutritionist, Nutrition, Education4383FL
133V00000X Dietitian, Registered4383FL

Practice location

4555 Emerson St
Jacksonville, FL 32207-4966

Phone 904-294-0022

Mailing address

8291 Barracuda Rd
Jacksonville, FL 32244-1203

Other practice locations

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273

Phone 904-294-0022

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