NPI 1285331876 · live from the CMS NPI Registry
Jennfier L Dickison, RND
Dietitian, Registered in Bonners Ferry, ID. National Provider Identifier 1285331876, active.
NPI record
| NPI | 1285331876 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1227 Mission Rd., Bonners Ferry, ID 83805 |
| Practice phone | 208-267-5223 |
| Mailing address | Po Box T, Bonners Ferry, ID 83805 |
| Enumerated | February 14, 2023 |
| Last updated | March 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | D-1316 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.