STEPHANIE PERRY RD
NPI 1174912810
Dietitian, Registered - Nutrition, Pediatric in Jacksonville, FL

Active since January 19, 2015
807 CHILDRENS WAY, JACKSONVILLE, FL 32207(904) 697-3600(302) 651-4945 Get Directions Write a Review

NPPES record last updated: January 19, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Dietitian, Registered
  • Nutrition, Pediatric

About STEPHANIE PERRY

This page provides the complete NPI Profile along with additional information for Stephanie Perry, a provider established in Jacksonville, Florida with a medical specialization in Dietitian, Registered, focusing in nutrition, pediatric . The healthcare provider is registered in the NPI registry with number 1174912810 assigned on January 2015. The practitioner's primary taxonomy code is 133VN1004X with license number ND3220 (FL). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1174912810 Verify this NPI
Provider Name
STEPHANIE PERRY RD
Gender
Female
Entity Type
Individual
Location Address
807 CHILDRENS WAY JACKSONVILLE, FL 32207
Location Phone
(904) 697-3600
Location Fax
(302) 651-4945
Mailing Address
807 CHILDRENS WAY JACKSONVILLE, FL 32207
Mailing Phone
(904) 697-3600
Mailing Fax
(302) 651-4945
Is Sole Proprietor?
No
Enumeration Date
01-19-2015
Last Update Date
01-19-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered Nutrition, Pediatric

Taxonomy Code
133VN1004X
Type
Dietary & Nutritional Service Providers
License No.
ND3220
License State
FL
Taxonomy Description
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Psychologist (Clinical Child & Adolescent)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Urology
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Otolaryngology (Pediatric Otolaryngology)
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL 32207
Physician Assistant
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Optometrist (Pediatrics)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Pediatrics (Pediatric Hematology-Oncology)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Anesthesiology (Pediatric Anesthesiology)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Audiologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Speech-Language Pathologist
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Urology (Pediatric Urology)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Anesthesiology (Pediatric Anesthesiology)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Anesthesiology (Pediatric Anesthesiology)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Nurse Practitioner
807 CHILDRENS WAY
JACKSONVILLE, FL 32207
Ophthalmology
807 CHILDRENS WAY
JACKSONVILLE, FL 32207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174912810, enumerated as an "individual" on January 19, 2015.

The provider is located at 807 CHILDRENS WAY JACKSONVILLE, FL 32207 and the phone number is (904) 697-3600.

Dietitian, Registered with taxonomy code 133VN1004X and a focus in Nutrition, Pediatric.