JENNA TAYLOR BRADDOCK RD, LDN
NPI 1326242520
Dietitian, Registered in Jacksonville, FL

Q: What is Jenna Braddock's NPI number?

The NPI number for Jenna Braddock is 1326242520. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Jenna Braddock's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Braddock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2007

3100 UNIVERSITY BLVD S, SUITE 220, JACKSONVILLE, FL 32216(904) 724-2043(904) 724-2013 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jenna Taylor Braddock Rd, Ldn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA TAYLOR BRADDOCK RD, LDN (NPI 1326242520) is an individual dietitian, registered in Jacksonville, Florida, licensed in Florida (ND 4851) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1326242520

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJENNA TAYLOR BRADDOCKCredential: RD, LDN

Location Address3100 UNIVERSITY BLVD S, SUITE 220Jacksonville, FL 32216-2758

Mailing Address947 Scrub Jay DrSaint Augustine, FL 32092-1759 · (904) 810-0368

Phone(904) 724-2043

Fax(904) 724-2013

Sole ProprietorNo

Enumeration DateJune 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1326242520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in FL · ND 4851

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

3100 UNIVERSITY BLVD S, Jacksonville, FL 32216

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAUREN LUCAS PH.D.

Clinical Neuropsychologist

3100 UNIVERSITY BLVD S, #122
JACKSONVILLE, FL 32216

Duval County (904) 725-2008

MR. PERRY J COLE M.D.

Anesthesiology (Pain Medicine)

3100 UNIVERSITY BLVD S, SUITE 300
JACKSONVILLE, FL 32216

Duval County (904) 274-8813

MR. ORLANDO GARAY FLORETE JR. M.D.

Anesthesiology (Pain Medicine)

3100 UNIVERSITY BLVD S, SUITE 300
JACKSONVILLE, FL 32216

Duval County (904) 274-8813

MR. DANIEL JESUS SANTIBANEZ MPH, RD, LDN

Dietitian, Registered

3100 UNIVERSITY BLVD S, SUITE 220
JACKSONVILLE, FL 32216

Duval County (904) 724-2043

MRS. TAMMY ALVAREZ WIEDEMAN RD, LD,N

Dietitian, Registered

3100 UNIVERSITY BLVD S, SUITE 220
JACKSONVILLE, FL 32216

Duval County (904) 724-2043

MRS. CATHERINE LEBLANC TRCALEK RD, LD/N, CDE

Dietitian, Registered

3100 UNIVERSITY BLVD S, STE. 220
JACKSONVILLE, FL 32216

Duval County (904) 724-2043

CYNTHIA RUTH BRADFORD MSH, RD, LD/N

Dietitian, Registered

3100 UNIVERSITY BLVD S, STE 220
JACKSONVILLE, FL 32216

Duval County (904) 724-2043

LAUREN LUCAS PHD P A

Psychologist

3100 UNIVERSITY BLVD S, SUITE 122
JACKSONVILLE, FL 32216

Duval County (904) 725-2008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Braddock's NPI number?

The NPI number for Jenna Braddock is 1326242520. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Jenna Braddock located?

Jenna Braddock practices at 3100 University Blvd S Suite 220, Jacksonville, FL 32216. The listed phone number is (904) 724-2043.

What is Jenna Braddock's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Jenna Braddock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.