NPI 1275842015 · live from the CMS NPI Registry
Jessika Nicole Brown, RD, LD
Dietitian, Registered in Albuquerque, NM. National Provider Identifier 1275842015, active.
NPI record
| NPI | 1275842015 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 |
| Practice phone | 505-727-7819 |
| Enumerated | September 28, 2010 |
| Last updated | September 28, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | LD-0794 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.