Provider Demographics
NPI:1154154656
Name:NICE, JEFFREY DALTON (RD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:DALTON
Last Name:NICE
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 FELS RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2080
Mailing Address - Country:US
Mailing Address - Phone:267-377-9600
Mailing Address - Fax:
Practice Address - Street 1:1590 FELS RD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-2080
Practice Address - Country:US
Practice Address - Phone:267-377-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN006650133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered