Provider Demographics
NPI:1699318246
Name:MINNITI, JENNA (RD)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:MINNITI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:SAVALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35 ROCKWOOD POND RD
Mailing Address - Street 2:
Mailing Address - City:FITZWILLIAM
Mailing Address - State:NH
Mailing Address - Zip Code:03447-3070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:809 COURT ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-1712
Practice Address - Country:US
Practice Address - Phone:509-844-5914
Practice Address - Fax:877-743-5351
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-25
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered