Provider Demographics
NPI:1699336156
Name:LIMBAUGH, JAYME DALE EITNER (RD)
Entity type:Individual
Prefix:
First Name:JAYME
Middle Name:DALE EITNER
Last Name:LIMBAUGH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:JAYME
Other - Middle Name:DALE
Other - Last Name:EITNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4913 BRIDGES ST EXT STE 102
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-8978
Mailing Address - Country:US
Mailing Address - Phone:252-808-5623
Mailing Address - Fax:
Practice Address - Street 1:4913 BRIDGES ST EXT STE 102
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-8978
Practice Address - Country:US
Practice Address - Phone:252-808-5623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered