NPI 1336011832 · live from the CMS NPI Registry
Jacquelyn Brown
Dietitian, Registered in Warrenton, MO. National Provider Identifier 1336011832, active.
NPI record
| NPI | 1336011832 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 120 E Main St, Warrenton, MO 63383 |
| Practice phone | 636-456-2933 |
| Mailing address | 1017 Kodiak Ridge Ct, Warrenton, MO 63383 |
| Enumerated | September 23, 2025 |
| Last updated | September 23, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2013028578 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.