Provider Demographics
NPI:1366235145
Name:SAPIENZA, JENINE NOELLE (MS, RD, LDN)
Entity type:Individual
Prefix:
First Name:JENINE
Middle Name:NOELLE
Last Name:SAPIENZA
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 N KEYSER AVE
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18504-9726
Mailing Address - Country:US
Mailing Address - Phone:570-561-3005
Mailing Address - Fax:570-561-3005
Practice Address - Street 1:825 N KEYSER AVE
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504-9726
Practice Address - Country:US
Practice Address - Phone:570-561-3005
Practice Address - Fax:570-561-3005
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN006984133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered