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Mary Jane Condell is one of 300 dietitians and nutrition professionals practicing in Austin, Texas .
Mary Jane Condell practices with Nourish, Inc.
Registry record (NPPES)
NPI
1265202543
Type
Type 1 · Individual
Primary taxonomy
Dietitian, Registered · 133V00000X
Address on file
219 Summer Tanager Dr Ravenel, SC 29470-9672 (804) 239-2811
Enumerated
Jan 8, 2024
Record last updated
Jan 8, 2024
License states listed
SC
Medicare (CMS)
Enrollment
Medicare-enrolled in TXRegistered Dietitian or Nutrition Professional
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
3724 Jefferson St Suite 104
Austin , TX 78731
(512) 693-7045
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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