Provider Demographics
NPI:1346418555
Name:MCHAFFIE, JAIME H (MS, RD)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:H
Last Name:MCHAFFIE
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2087 W FOREST DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-5112
Mailing Address - Country:US
Mailing Address - Phone:850-766-8690
Mailing Address - Fax:
Practice Address - Street 1:2087 W FOREST DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-5112
Practice Address - Country:US
Practice Address - Phone:850-766-8690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered