Provider Demographics
NPI:1053984955
Name:CHAPLER, JENNIFER B (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:B
Last Name:CHAPLER
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1296 PENNINGTON RD
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2802
Mailing Address - Country:US
Mailing Address - Phone:201-394-7491
Mailing Address - Fax:
Practice Address - Street 1:1296 PENNINGTON RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2802
Practice Address - Country:US
Practice Address - Phone:201-394-7491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
717338133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered