JENNA M BANNON — Medicare Enrolled Provider (PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL, NY)
JENNA M BANNON — Medicare Enrolled Provider (PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL, NY) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: JENNA M BANNON; Type: Individual; NPI: 1003157546.
| Name | JENNA M BANNON |
|---|---|
| Type | Individual |
| NPI | 1003157546 |
| Provider type | PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| State | NY |
| Enrollment ID | I20130919000087 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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